Active NPI
Kimberly Marrs, MS SLP-CCC
- Speech-Language Pathologist
- Sacramento, CA
National Provider Identifier
1962963868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP34103
- Practice address
- 2425 Stockton Blvd
Sacramento, CA 95817-2215 - Phone
- (916) 453-2262
- NPI assigned
- Mar 26, 2019
- 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 | SLP34103 | CA | Primary |
Addresses
Primary practice location
2425 Stockton Blvd
Sacramento, CA 95817-2215
Mailing address
2425 Stockton Blvd
Sacramento, CA 95817-2215
Phone (916) 453-2262
Other names 1
- Ms. Kimberly A Smith
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP34103 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674950400000",
"number": "1962963868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172215",
"telephone_number": "916-453-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172215",
"telephone_number": "916-453-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRS",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "MS SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-01-29",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SLP34103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "SMITH",
"middle_name": "A",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.