Active NPI
Kimberly Lauren Smiley, M.S., CCC-SLP
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1972754547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13482
- Practice address
- 809 John D Barry Dr
Wilmington, NC 28412-0983 - Phone
- (910) 799-4999
- NPI assigned
- Oct 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL009016 | PA | |
| Speech-Language Pathologist | 235Z00000X | 13482 | NC | Primary |
Addresses
Primary practice location
809 John D Barry Dr
Wilmington, NC 28412-0983
Mailing address
1005 Garden Club Way
Leland, NC 28451-9599
Phone (724) 622-2072
Other practice location 1
1070 Stouffer Ave
Chambersburg, PA 17201-2938
Phone (717) 263-0436 ext. 219
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12095472 | Other | ASHA NUMBER | |
| 13482 | Other | NC | NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUD. |
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 |
|---|---|---|---|
| 13482 | NC | MD | Massage Therapist |
| SL009016 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583625600000",
"number": "1972754547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 GARDEN CLUB WAY",
"city": "LELAND",
"state": "NC",
"postal_code": "284519599",
"telephone_number": "724-622-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 JOHN D BARRY DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284120983",
"telephone_number": "910-799-4999"
}
],
"practiceLocations": [
{
"address_1": "1070 Stouffer Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172012938",
"country_code": "US",
"telephone_number": "717-263-0436 x219",
"fax_number": "717-263-6629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMILEY",
"first_name": "KIMBERLY",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2020-03-08",
"certification_date": "2020-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009016",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA NUMBER",
"identifier": "12095472",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUD.",
"identifier": "13482",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.