Kimberly Sue Ball, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004048 Issued in MI

Practice address

4450 Cascade Rd SE
Grand Rapids, MI 49546-3633

Phone

(616) 949-4975

NPI assigned

Oct 24, 2018

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

Credentials

Master of Arts

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.

• Porter Hills Home Health West

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1508845066
  NPD (past)
• Professional Health Services, PLLC

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1952577900
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1922574342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 CASCADE RD SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019339",
            "telephone_number": "616-634-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463633",
            "telephone_number": "616-949-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PORTER HILLS HOME CARE",
            "identifier": "1508845066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selma S Balkic, LMSW
• Mary Kathleen Balkon, LMSW
• Elizabeth Ball
• Julie Marie Ball, LMSW
• Keeghan Patrick-Wayne Ball
• Mary C Ball, M.D.
• Richard D Ball, M.D.
• Edward George Ballance Jr., MACP, MAC, LLPC
• Lachane' Ballard
• Satya Ballard

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.