Kimberly Jones, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

339383091 Issued in NY

Practice address

10 Main Street
Waddington, NY 13694-0249

Phone

(315) 388-7703

Fax

(315) 388-4707

NPI assigned

Jul 9, 2012

Last updated

Jul 9, 2012By 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 3

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.

• North Coast Occupational, Physical & Speech Therapy PLLC

  • Early Intervention Provider Agency
  • Waddington, NY
  • NPI 1881834182
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1629333448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "136940249",
            "telephone_number": "315-388-7703",
            "fax_number": "315-388-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN STREET",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "136940249",
            "telephone_number": "315-388-7703",
            "fax_number": "315-388-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIMBERLY",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "339383091",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "307146091",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "117427071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malorie Ann Farrell, D.C.
• Nikita Glover, FNP
• Llanne Goliber
• Megan Goolden, M.A., CCC-SLP
• Kendra Hammond
• Nicole Marie Lafave, MSED
• Lacey Leroux, MSED
• Kathleen G. Mattis, LCSW
• Thyra Lynn McGreevy, OTA
• Leeann Morley, COTA

• Specialist in Waddington, NY
• Providers in Waddington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.