Kimberly Dawn Smith, MA ED., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY07097 Issued in KY

Practice address

422 Wellington Way
Winchester, KY 40391-8443

Phone

(859) 377-0005

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1841453933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WELLINGTON WAY",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918443",
            "telephone_number": "859-377-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WELLINGTON WAY",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918443",
            "telephone_number": "859-377-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MA ED., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-3542",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY07097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Allen Sizemore, ARNP, NP-C
• Clarence Richard Skeens, PTA
• Rankin Douglas Skinner, DMD
• Sarah Slone
• Timothy Smallwood, DNP, APRN, FNP-BC
• Smith'S Sober Living House
• Ronald Bruce Snowden, D.M.D.
• Saran Somarajan Pillai, MBBS
• Amanda Rene Sowers
• Shayna Spano, PT, DPT

• Speech-Language Pathologist in Winchester, KY
• Providers in Winchester, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.