Active NPI
Kimberly Faye Hull, MS, CCC/SLP, BCBA
- Speech-Language Pathologist
- Lutz, FL
National Provider Identifier
1851339964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7688
- Practice address
- 18288 N U.S. Hwy 41
Lutz, FL 33549 - Phone
- (813) 527-9638
- Fax
- (813) 867-7288
- NPI assigned
- Jun 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-02-0790 | ||
| Speech-Language Pathologist | 235Z00000X | SA 7688 | FL | Primary |
Addresses
Primary practice location
18288 N U.S. Hwy 41
Lutz, FL 33549
Mailing address
18288 N U.S. Hwy 41
Lutz, FL 33549
Phone (813) 527-9638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004621200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140807000275 | FL | Practitioner - Qualified Speech Language Pathologist | 6406073923 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7688 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieveability Therapy Services | 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.
-
- Clinic/Center
- Lutz, FL
- NPI 1467294355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1851339964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18288 N U.S. HWY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "33549",
"telephone_number": "813-527-9638",
"fax_number": "813-867-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18288 N U.S. HWY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "33549",
"telephone_number": "813-527-9638",
"fax_number": "813-867-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "KIMBERLY",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "MS, CCC/SLP, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-02-0790",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004621200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.