Kimberly Taylor, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1443 Issued in AR

Practice address

1844 Palomino Dr
Greenwood, AR 72936-4974

Phone

(479) 629-6578

NPI assigned

May 28, 2008

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 Science

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.

• Kimberly Taylor, Inc

  • Speech-Language Pathologist
  • Greenwood, AR
  • NPI 1891950200
  NPD (past) Authorized official

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1992963789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 PALOMINO DR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364974",
            "telephone_number": "479-629-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 PALOMINO DR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364974",
            "telephone_number": "479-629-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134829721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart Drugs
• Stewart Drugs
• Samantha Mae Stilley, LMT
• Stonehaven Behavioral Health and Wellness, Inc
• Karrie Tallakson
• Nicole Simpkins Taylor, O.D.
• Lindsay Terry, PT, DPT
• The Guidance Center - RCF Greenwood
• Crissy Ann Thompson, PLPC
• Kimberly Tomlin

• Speech-Language Pathologist in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.