Kimberly Grace O'Brien, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9349 Issued in OH

Practice address

2821 Whipple Ave NW
Suite 200
Canton, OH 44708-6215

Phone

(330) 478-1752

Fax

(330) 478-1763

NPI assigned

Jun 24, 2009

Last updated

Jun 24, 2009By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• T. J. Tyler, Inc.

  dba Concorde Kids

  • Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1376757104
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1548498967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 MEADOW VILLAGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353910",
            "telephone_number": "216-410-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 WHIPPLE AVE NW",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086215",
            "telephone_number": "330-478-1752",
            "fax_number": "330-478-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KIMBERLY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhoda Nutter
• Sarah Nutter, LPC
• Idara Nwa, LSW
• Ugochi Chinonye Nwanguma, M.D
• Grace Okwuchi Nwankwo
• Michael John O'Brien, D.O.
• Sonya Nicole O'Brien
• Ivor O'Connor Jr., MD
• Kelsey S O'Connor, D.O.
• Craig Scott O'Dear, MD

• Speech-Language Pathologist in Canton, OH
• Providers in Canton, 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 Jun 24, 2009; 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.