Kimper Cannon Thomas, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8370 Issued in NC

Practice address

2017 Lyndhurst Ave
Charlotte, NC 28203-5313

Phone

(704) 609-8255

Fax

(704) 371-7385

NPI assigned

Jul 26, 2006

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)

Not enrolled

State licenses

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.

• The Speech Garden, LLC

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1093839482
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1922022920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 IDEAL WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035627",
            "telephone_number": "704-343-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 LYNDHURST AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035313",
            "telephone_number": "704-609-8255",
            "fax_number": "704-371-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMPER",
        "middle_name": "CANNON",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0639",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Thomas, CMA
• Katelyn Thomas
• Kaytlynn Thomas
• Kenneth Jason Thomas, D.C.
• Kerri Thomas
• Kordaryl Thomas
• Kristin R Thomas, OTRL
• Krystal L Thomas, PHYSICAL THERAPIST
• Kyle Thomas
• Latoya Thomas

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.