Patricia J Kimes, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19164 Issued in TX

Practice address

411 SW 24TH St
San Antonio, TX 78207-4617

Phone

(210) 434-6711

Fax

(210) 434-9360

NPI assigned

Aug 21, 2009

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

Credentials

Master of Education

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 and National Provider Directory roles.

• Our Lady of the Lake University

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1063622314
  NPD (past)
• Our Lady of the Lake University San Antonio

  • Audiologist
  • San Antonio, TX
  • NPI 1952020687

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1679705800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SW 24TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782074617",
            "telephone_number": "210-434-6711",
            "fax_number": "210-434-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SW 24TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782074617",
            "telephone_number": "210-434-6711",
            "fax_number": "210-434-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Goodwin LCSW-S PLLC
• Kimberly P. Gallegos-Watson, PLLC
• Kimberly Voges, DDS, PA
• Kristopher Kimbrough
• Dorothy Mukami Kimburi
• Amy Mortimer Kimm, MD
• Teresa Wairimu Kimotho, FNP
• Kinani Express LLC
• Devon Perry Kinard, OTR
• Mary Elizabeth Kinard, LPC

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.