Individual provider Active NPI

Kimiko Muniz Pears, MS, CCC-SLP

  • Speech-Language Pathologist
  • Mobile, AL
National Provider Identifier
1861879165
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3645 Issued in AL
Practice address
3351 Torrey Dr
Mobile, AL 36693-3563
Phone
(251) 379-0580
NPI assigned
May 6, 2015
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 3645 AL Primary

Addresses

Primary practice location

3351 Torrey Dr
Mobile, AL 36693-3563

Mailing address

3351 Torrey Dr
Mobile, AL 36693-3563
Phone (251) 379-0580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121003112 AL Practitioner - Qualified Speech Language Pathologist 8123431285 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3645ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adult Therapy Services, L.L.C. Speech-Language Pathologist CurrentSince Jan 11, 2021 Accepting new patients

Locations

328 S Sage Ave
Ste 212
Mobile, AL 36606
Phone (251) 379-0580

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1861879165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 TORREY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933563",
            "telephone_number": "251-379-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 TORREY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933563",
            "telephone_number": "251-379-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARS",
        "first_name": "KIMIKO",
        "middle_name": "MUNIZ",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.