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Kimberly R Smith , MA CCC-SLP

Speech-Language Pathologist β€’ Key West, FL

Active NPI 1790824860 Individual Practitioner Female Practitioner
Practice location in NPPES

3641 Northside Ct
Key West, FL 330404258

Call 3053934277 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3641 Northside Ct

Key West, FL 330404258

Telephone 3053934277
Fax 3052924783

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Key West and Florida

9 active clinicians are listed under Speech-Language Pathologist with a practice address in Key West, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA 11616

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

License # reported to NPPES FL SA11616

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL HO451A

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NY 010607-1

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medicare Part B
HO451A (FL)
Other Identifier Asha Certification Number
09126830
Other Identifier New York State License #
010607-1 (NY)
Other Identifier State Of Florida Department Of Health License #
SA 11616 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
βœ…
NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 11, 2017

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

πŸ“
Updated Business Mailing Address August 11, 2017

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

πŸ‘€
Provider Name / Credentials Updated August 11, 2017

Recorded as KIMBERLY SMITH, M.A. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Developmental Therapist (license number reported to NPPES: FL SA11616)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Speech-Language Pathologist (license number reported to NPPES: FL SA 11616)

βœ…
NPI Profile Active August 25, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 25, 2013

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

πŸ“
Business Mailing Address (Initial Record) August 25, 2013

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

πŸ‘€
Provider Name / Credentials (Initial Record) August 25, 2013

Recorded as KIMBERLY SMITH, M.A. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2013

Speech-Language Pathologist (license number reported to NPPES: FL SA 11616)

🟒
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790824860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: August 11, 2017
Sole Proprietor: No

Mailing Address

3641 Northside Ct

Key West, FL 330404258

Phone: 3053934277

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.