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Kimberly A Mcdonnell , MS, CCC-SLP

Speech-Language Pathologist β€’ Festus, MO

Active NPI 1346386562 Individual Practitioner Female Practitioner
Practice location in NPPES

1515 Midmeadow Ln
Festus, MO 630281545

Call 6369378044 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

1515 Midmeadow Ln

Festus, MO 630281545

Telephone 6369378044
Organization at the Same NPPES Address or Phone
Festus R-6 School District Facility NPI 1801047915

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Creve Coeur, MO. 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 Festus and Missouri

13 active clinicians are listed under Speech-Language Pathologist with a practice address in Festus, MO (5,056 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Festus

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

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: 2021-09-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MO 2002027404

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: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
507265809 (MO)
Medicaid ID
465964203 (MO)
Other Identifier Group Npi
1114090792 (MO)

Secondary Practice Locations

10560 Old Olive Street Rd, Suite 100

Creve Coeur, MO 631415916

Phone: 3145674707

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location September 10, 2021

Registered at 1515 MIDMEADOW LN, FESTUS, MO 630281545 (Tel: 6369378044)

πŸ“
Updated Business Mailing Address September 10, 2021

Registered at 9829 ROUND TABLE CT, HILLSBORO, MO 630503973 (Tel: 3145408089)

πŸ‘€
Provider Name / Credentials Updated September 10, 2021

Recorded as KIMBERLY MCDONNELL, MS,CCC-SLP

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 10560 OLD OLIVE STREET RD, SUITE 100, CREVE COEUR, MO 631415916 (Tel: 3145674707)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 213 MISSISSIPPI AVE, CRYSTAL CITY, MO 630191635

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as KIMBERLY GREEN, MS,CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (license number reported to NPPES: MO 2002027404)

🟒
Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346386562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: September 10, 2021
Sole Proprietor: No

Mailing Address

9829 Round Table Ct

Hillsboro, MO 630503973

Phone: 3145408089

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.