Kimberly Lynn Colquitt, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1559 Issued in AZ

Practice address

690 E Warner Rd Ste 105
Gilbert, AZ 85296-3055

Phone

(480) 820-6366

Fax

(480) 820-0462

NPI assigned

Nov 28, 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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mentis Reo, LLC.

  • Developmental Disabilities Clinic/Center
  • Gilbert, AZ
  • NPI 1609541283
  Medicare reassignment NPD
• Advanced Therapy Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1972659399
  NPD
• East Valley Speech Pathology Assoc LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1205944030
  NPD (past)
• Essential Therapy Solutions, LLC

  • Speech-Language Pathologist
  • San Tan Valley, AZ
  • NPI 1760604557
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942376272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963055",
            "telephone_number": "480-820-6366",
            "fax_number": "480-820-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963055",
            "telephone_number": "480-820-6366",
            "fax_number": "480-820-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Collins
• Michael Byron Collins, D.C.
• Preston Collins, PT, DPT
• Steven Isamu Collins, DO
• Elena Colombe
• Combs Surgical Assisting
• Amanda Combs
• Charles Milton Combs III, FNP
• James Combs, PA
• Kelly Louise Combs, CST, CSFA

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.