Individual provider Active NPI

Kimberly Chachere Coker, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1790076867
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18470 Issued in TX
Practice address
3900 Junius St
Suite 230
Dallas, TX 75246-1615
Phone
(469) 800-7734
Fax
(469) 800-7731
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18470 TX Primary

Addresses

Primary practice location

3900 Junius St
Suite 230
Dallas, TX 75246-1615

Mailing address

3434 Swiss Ave Ste 200
Dallas, TX 75204-6251
Phone (469) 800-7730

Other practice location 1

3434 Swiss Ave Ste 200
Dallas, TX 75204-6251
Phone (469) 800-7730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcoker239794@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513001699 TX Practitioner - Qualified Speech Language Pathologist 7416170717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 1, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 1, 2018 Accepting new patients
Texas Ear, Nose & Throat Specialists, PLLC Past Accepting new patients
Healthtexas Provider Network PastSince Nov 8, 2025 Accepting new patients

Locations

3900 Junius St
Ste 230
Dallas, TX 75246
Phone (469) 800-7700

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000

3600 Gaston Ave
Ste 502
Dallas, TX 75246
Phone (214) 823-2692

3600 Gaston Ave
Ste 558
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1790076867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 SWISS AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046251",
            "telephone_number": "469-800-7730",
            "fax_number": "469-800-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST",
            "address_2": "SUITE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "469-800-7734",
            "fax_number": "469-800-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Swiss Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046251",
            "country_code": "US",
            "telephone_number": "469-800-7730",
            "fax_number": "469-800-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COKER",
        "first_name": "KIMBERLY",
        "middle_name": "CHACHERE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcoker239794@direct.sw.org",
            "affiliation": "N",
            "address_1": "3417 Gaston Ave Ste 1000",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.