Kimberly E Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12657 Issued in OH

Practice address

8212 N Main St
Dayton, OH 45415-1641

Phone

(937) 280-0300

NPI assigned

Jul 23, 2018

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

State licenses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1528545696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 VERONA RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213109",
            "telephone_number": "216-333-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151641",
            "telephone_number": "937-280-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "12657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Smith, RN
• Keeanna Smith
• Kelly Smith
• Kelsey Smith, LPCC
• Kim W Smith
• Kirsten Nicole Smith
• Kodi Leann Smith
• Kristi Renee Smith, MSPT
• Kyjahkristine Deona Lakarah Smith
• Lan Huynh Smith, PT, DPT

• Speech-Language Pathologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.