Melissa Kimes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14052027 Issued in MO

Practice address

611 Johnny Dr
Maryville, IL 62062-5719

Phone

(618) 444-4267

NPI assigned

Aug 25, 2014

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

• Melissa Matthews Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1487054797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 JOHNNY DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625719",
            "telephone_number": "618-444-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 JOHNNY DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625719",
            "telephone_number": "618-444-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "14052027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MATTHEWS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christy Anne Kay, ANP
• Malinda Kemper, FNP
• Rachel Kent
• Bryce Kiel, CRNA
• Amanda Joy Kilzer, FNP-C
• David W Kinscherff, DPM
• Christina Kittstein, LLC
• Heather N Knudson, MA, SLP
• Willis Ko, MD
• Gretchen A Koehne, LCPC

• Speech-Language Pathologist in Maryville, IL
• Providers in Maryville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.