Active NPI
Kimberly Jones Maner, MS, CCC-SLP
- Speech-Language Pathologist
- Shelby, NC
National Provider Identifier
1801916697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4084
- Practice address
- 1429 E Marion St
Ste. 5
Shelby, NC 28150-4986 - Phone
- (704) 480-5440
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4084 | NC | Primary |
Addresses
Primary practice location
1429 E Marion St
Ste. 5
Shelby, NC 28150-4986
Mailing address
3021 Colony Ridge Dr
Gastonia, NC 28056-1602
Phone (704) 865-7958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139C6 | Other | NC | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC DHHS Child and Family Well-Being | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Shelby, NC
- NPI 1679798029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801916697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 COLONY RIDGE DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280561602",
"telephone_number": "704-865-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 E MARION ST",
"address_2": "STE. 5",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504986",
"telephone_number": "704-480-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANER",
"first_name": "KIMBERLY",
"middle_name": "JONES",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "139C6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.