Andrea Bellucci Kimmel, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006300L Issued in PA

Practice address

212 Hope Dr
Boiling Springs, PA 17007-9584

Phone

(717) 701-5914

NPI assigned

Sep 23, 2022

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1578286613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOPE DR",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOPE DR",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079584",
            "telephone_number": "717-701-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "ANDREA",
        "middle_name": "BELLUCCI",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006300L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Evans-Freet, LPC
• Stacy Foreman, MS CCC LSLP
• Mary V Franco
• Chadler M Jumper, MD
• Bonnie Kenewell
• Donald J Kovacs, M.D.
• Christine Joanne Krahulec, M.T.
• Nancy J Kschinka, MED., MAC., DIPLAC.
• Lancaster Hma Physician Management Inc.
• Justin Lewis, ATC

• All providers in Boiling Springs, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.