Active NPI
Kickstart Kids Therapy, PLLC
Doing business as Kickstart Kids
- Speech-Language Pathologist
- Burnet, TX
National Provider Identifier
1386359560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KICKSTART KIDS THERAPY, PLLC
- Doing business as
- Kickstart Kids
- Practice address
- 109 Billy Joe Fox Dr
Burnet, TX 78611-3579 - Phone
- (830) 201-0594
- NPI assigned
- Jan 23, 2023
- Last updated
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aimee Louise Barnard, MS, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (830) 201-0594
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
109 Billy Joe Fox Dr
Burnet, TX 78611-3579
Mailing address
117 Rylee Rd
Burnet, TX 78611-4203
Phone (830) 201-0594
Other names 1
- Kickstart Kids
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Burnet, TX
- NPI 1750094710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1386359560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 RYLEE RD",
"city": "BURNET",
"state": "TX",
"postal_code": "786114203",
"telephone_number": "830-201-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BILLY JOE FOX DR",
"city": "BURNET",
"state": "TX",
"postal_code": "786113579",
"telephone_number": "830-201-0594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KICKSTART KIDS THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "BARNARD",
"authorized_official_first_name": "AIMEE",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "830-201-0594",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kickstart Kids",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burnet, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.