Kimberly Fort, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1510 Issued in SC

Practice address

1155 N Lafayette Dr
Sumter, SC 29150-2913

Phone

(803) 773-1291

NPI assigned

Aug 4, 2017

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

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740705383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 MATTISON AVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503720",
            "telephone_number": "803-778-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N LAFAYETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502913",
            "telephone_number": "803-773-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Hasel St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504506",
            "country_code": "US",
            "telephone_number": "803-778-6814",
            "fax_number": "803-778-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORT",
        "first_name": "KIMBERLY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny H. Ford, MD
• Derell Letwaun Ford, RN
• Derrick J Ford
• Ponya J. Ford
• Virgina W Ford, ED.D, RN, CS, FNP
• Angela Foxworth, CERTIFIED COACH
• Jessica Ellis Fralick, DNP, FNP-C
• Jacqueline Ruth Francis, PH.D.
• Wendy Franklin
• Carleigh Fraser

• Speech-Language Pathologist in Sumter, SC
• Providers in Sumter, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.