Kelly J Kiziminski, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2203 National Rd
Wheeling, WV 26003-5203

Phone

(304) 231-3820

Fax

(304) 243-0440

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ohio County Board of Education

  • Local Education Agency (LEA)
  • Wheeling, WV
  • NPI 1265601298
  NPD (past)
• Ohio County Board of Education

  • Local Education Agency (LEA)
  • Wheeling, WV
  • NPI 1700066867
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1902802424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035203",
            "telephone_number": "304-231-3820",
            "fax_number": "304-243-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035203",
            "telephone_number": "304-231-3820",
            "fax_number": "304-243-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZIMINSKI",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402187000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tressa R Kingery, SLP
• Heather Marie Kinsey, LSW
• Amy Kirk
• Ellen L Kitts, MD
• Darla Kitzmiller
• Kari Klein
• Cheryl Lynn Kline, CRNA
• Kelly Anne Klocek, D.O.
• Edwin Victor Kluth, DDS MS
• Timothy Henry Knierim, MD

• All providers in Wheeling, WV
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.