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Kimberly G Kidder , SLP

Speech-Language Pathologist β€’ Scott, LA

Active NPI 1366574204 Individual Practitioner Female Practitioner
Practice location in NPPES

1500 W Willow St
Scott, LA 705835303

Call 3375217700 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

1500 W Willow St

Scott, LA 705835303

Telephone 3375217700
Fax 3375217701
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lafayette, LA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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 Scott and Louisiana

5 active clinicians are listed under Speech-Language Pathologist with a practice address in Scott, LA (3,307 in Louisiana).

Addresses are self-reported to NPPES and may be out of date.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

Self-certified to NPPES: 2021-05-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES LA 4834

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: Louisiana State Board of Medical Examiners.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1478202 (LA)

Secondary Practice Locations

106 Eula Dr

Lafayette, LA 705066048

Phone: 3375781670

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location May 26, 2021

Registered at 1500 W WILLOW ST, SCOTT, LA 705835303 (Tel: 3375217700)

βœ…
NPI Profile Active January 11, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 11, 2008

Registered at 106 EULA DR, LAFAYETTE, LA 705066048 (Tel: 3375781670)

πŸ“
Business Mailing Address (Initial Record) January 11, 2008

Registered at 112 BELLE GROVE BLVD, LAFAYETTE, LA 70503 (Tel: 3379933417)

πŸ‘€
Provider Name / Credentials (Initial Record) January 11, 2008

Recorded as KIMBERLY KIDDER, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2008

Speech-Language Pathologist (license number reported to NPPES: LA 4834)

🟒
Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366574204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: May 26, 2021
Sole Proprietor: Yes

Mailing Address

112 Belle Grove Blvd

Lafayette, LA 70503

Phone: 3379933417

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.