Tricia Ann Kimball, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007331 Issued in GA

Practice address

106 Oglethorpe Professional CT Ste a
Savannah, GA 31406-3693

Phone

(912) 351-4793

Fax

(888) 429-3741

NPI assigned

Apr 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

Practice roles

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.

• Developmental Therapy Associates

  • Rehabilitation Clinic/Center
  • Savannah, GA
  • NPI 1194054056
  NPD (past)
• Pediatric Rehabilitation and Wellness LLC

  • Pediatric Physical Therapist
  • Savannah, GA
  • NPI 1669785580
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1417247933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RED OAK DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243862",
            "telephone_number": "912-344-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OGLETHORPE PROFESSIONAL CT STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063693",
            "telephone_number": "912-351-4793",
            "fax_number": "888-429-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "TRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Uenmi Kim, OD
• David D Kim, M.D.
• Haemi Kim
• Kab Kim
• Youngmin Kim, MD
• Kimberly P. McGraw LCSW LLC
• Paige Kimble, MA, APC
• Sherri Morgan Kimes, ARNP
• Robert Monroe Kimmel Jr., M.D.
• Scott Edward Kincaid, PHARM.D., BCPS

• Speech-Language Pathologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.