Active NPI
Kimberly L Farmer, MSP, CCC-SLP
- Speech-Language Pathologist
- Aiken, SC
National Provider Identifier
1871639526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2994
- Practice address
- 1099 Willow Woods Dr
Aiken, SC 29803-8965 - Phone
- (803) 634-3029
- NPI assigned
- Jan 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 | 2994 | SC | Primary |
Addresses
Primary practice location
1099 Willow Woods Dr
Aiken, SC 29803-8965
Mailing address
1099 Willow Woods Dr
Aiken, SC 29803-8965
Phone (803) 634-3029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0465 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2994 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871639526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 WILLOW WOODS DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298038965",
"telephone_number": "803-634-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 WILLOW WOODS DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298038965",
"telephone_number": "803-634-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "KIMBERLY",
"middle_name": "L",
"credential": "MSP, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "2994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0465",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Ugochukwu Stanley Ezidiegwu, M.D.
- Faircloth and Bakeman Partnership (Aiken Augusta Oral & Facial Surgery)
- Elizabeth Ryan Faircloth, P.T.
- Robyn F. Fallaw, M.D.
- Jason T. Fancey, MD
- Lamesha Camielle Farmer, AGPCNP
- Amanda Harper Farquhar, PT, DPT
- Kathleen Farris, RN
- Sumaiya Fatima
- Brittney Lynn Faust, MCD,CF-SLP
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.