Kimberley Ivory

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

35993 Issued in CA

Practice address

368 Juana Ave
San Leandro, CA 94577-4811

Phone

(877) 367-9772

NPI assigned

Feb 25, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Ivory Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1376497479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 4TH ST APT 640",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072161",
            "telephone_number": "281-889-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 JUANA AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774811",
            "telephone_number": "877-367-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY",
        "first_name": "KIMBERLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "IVORY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paige Irvine
• Sameena Ishaq
• Farida M Ismail
• Robert Israel, D.D.S.
• Louis Albert Ivey III, M.D.
• Tony Iwane
• John J Jaber, DDS
• Veronika Jablonski
• Ciaran Jacka, DPM
• Kelli Tracy Jackman, MPT

• Speech-Language Pathologist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.