Individual provider Active NPI

Kimbre Lacy McWhorter, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Carmel, IN
National Provider Identifier
1346622065
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22007434A Issued in IN
Practice address
10255 Commerce Dr Ste 150
Carmel, IN 46032-7431
Phone
(858) 254-0550
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15004 FL
Speech-Language Pathologist 235Z00000X 22007434A IN Primary

Addresses

Primary practice location

10255 Commerce Dr Ste 150
Carmel, IN 46032-7431

Mailing address

10255 Commerce Dr Ste 150
Carmel, IN 46032-7431
Phone (858) 254-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15004FLMDOccupational Therapist
22007434AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Communicators, LLC Speech-Language Pathologist CurrentSince Feb 19, 2023 Accepting new patients

Locations

10255 Commerce Dr
Ste 150
Carmel, IN 46032
Phone (317) 660-1251

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1346622065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 COMMERCE DR STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327431",
            "telephone_number": "858-254-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 COMMERCE DR STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327431",
            "telephone_number": "858-254-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHORTER",
        "first_name": "KIMBRE",
        "middle_name": "LACY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "15004",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.