Kimberly Mitchell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6735 S Oglesby Ave
Chicago, IL 60649-1315

Phone

(708) 841-0347

Fax

(708) 260-9396

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Blair Professional name

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1700060571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 S OGLESBY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491315",
            "telephone_number": "708-841-0347",
            "fax_number": "708-260-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 S OGLESBY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491315",
            "telephone_number": "708-841-0347",
            "fax_number": "708-260-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BLAIR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Mitchell
• James Rice Mitchell, MSW, LCSW
• Kara A Mitchell, M.S., CCC-SLP/L
• Keir Mitchell, PT
• Kelsey Lea Mitchell, CNM
• Kyla Mitchell
• Lauren Elizabeth Mitchell
• Lauren Michelle Mitchell, MD
• Madison Mitchell
• Margaret M Mitchell, DDS

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.