Kimberly Dawn Greer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002771 Issued in VA

Practice address

27018 Lee Hwy
Abingdon, VA 24211-7512

Phone

(276) 525-6043

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

Yes

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

• Blue Mountain Therapy, LLC

  • Behavior Analyst
  • Abingdon, VA
  • NPI 1497330401
  NPD (past)
• Blue Mountain Therapy, LLC

  • Early Intervention Provider Agency
  • Abingdon, VA
  • NPI 1760818595

  Speech-Language Pathologist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2024.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1669008348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LOWER BEAR WALLOW RD",
            "city": "DANTE",
            "state": "VA",
            "postal_code": "242377130",
            "telephone_number": "276-495-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27018 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117512",
            "telephone_number": "276-525-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Grau, O.D.
• Heather Green, LCSW
• Karalee Greenwald
• Ashley L Greenway, LCSW
• Justin Greer, PHARMD
• Chelsey Griffiths, PA-C
• Kathryn Alane Grist, PT, DPT
• Danielle Jean Grogan, LCSW
• Howard Randall Grumpelt, PH.D.
• Guiding Star LLC

• All providers in Abingdon, VA
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.