Organization Active NPI

Kidtalk

  • Speech-Language Pathologist
  • Thomasville, NC
National Provider Identifier
1992079321
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1407 Issued in NC
Legal business name
KIDTALK
Practice address
21 Wilbrook Dr
Thomasville, NC 27360-9633
Phone
(336) 688-1643
Fax
(336) 476-7130
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kim Schirrman Scarboro, MA, CCC-SLPNPI 1013942671
Title
Speech Language Pathologist
Phone
(336) 688-1643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1407 NC Primary

Addresses

Primary practice location

21 Wilbrook Dr
Thomasville, NC 27360-9633

Mailing address

21 Wilbrook Dr
Thomasville, NC 27360-9633
Phone (336) 688-1643

Other identifiers 1

IdentifierTypeStateIssuer
7210879MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1992079321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILBROOK DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273609633",
            "telephone_number": "336-688-1643",
            "fax_number": "336-476-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WILBROOK DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273609633",
            "telephone_number": "336-688-1643",
            "fax_number": "336-476-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDTALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "SCARBORO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "SCHIRRMAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "336-688-1643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.