Active NPI
Kimberly Kaye Gorland, MCD CCC SLP
- Speech-Language Pathologist
- Dothan, AL
National Provider Identifier
1851526883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2901
- Practice address
- 100 Westside Dr
Dothan, AL 36303-1908 - Phone
- (334) 793-2237
- Fax
- (334) 712-6256
- NPI assigned
- May 19, 2009
- 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 | 2901 | AL | Primary |
Addresses
Primary practice location
100 Westside Dr
Dothan, AL 36303-1908
Mailing address
100 Westside Dr
Dothan, AL 36303-1908
Phone (334) 793-2237
Other practice location 1
193 Sam Lisenby Rd
Ozark, AL 36360-3048
Phone (334) 445-6336
Other names 1
- Kimberly Kaye Free
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumlar Therapy Service, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Chrysalis, a Home for Girls, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Newton, AL
- NPI 1891808036
-
- Physical Therapist
- Ozark, AL
- NPI 1265574990
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1851526883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WESTSIDE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031908",
"telephone_number": "334-793-2237",
"fax_number": "334-712-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WESTSIDE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031908",
"telephone_number": "334-793-2237",
"fax_number": "334-712-6256"
}
],
"practiceLocations": [
{
"address_1": "193 Sam Lisenby Rd",
"address_purpose": "LOCATION",
"city": "Ozark",
"state": "AL",
"postal_code": "363603048",
"country_code": "US",
"telephone_number": "334-445-6336",
"fax_number": "334-445-6363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORLAND",
"first_name": "KIMBERLY",
"middle_name": "KAYE",
"credential": "MCD CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "FREE",
"middle_name": "KAYE",
"credential": "MCD CCC SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.