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Kimberly D Clark , MS, CCC-SLP

Speech-Language Pathologist β€’ Clovis, NM

Active NPI 1336421999 Individual Practitioner Female Practitioner
Practice location in NPPES

1524 Lexington Road
Clovis, NM 881016846

Call 5752199354 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

1524 Lexington Road

Clovis, NM 881016846

Telephone 5752199354

NPI first issued

2011

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 Clovis and New Mexico

55 active clinicians are listed under Speech-Language Pathologist with a practice address in Clovis, NM (1,998 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clovis

0% of these 55 clinicians have the CMS telehealth indicator.

0% of these 55 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 105425

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

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

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Behavior Technician

βœ…
NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 04, 2017

Registered at 1524 LEXINGTON ROAD, CLOVIS, NM 881016846 (Tel: 5752199354)

πŸ“
Updated Business Mailing Address April 04, 2017

Registered at 1524 LEXINGTON RD, CLOVIS, NM 881014418 (Tel: 5752199354)

πŸ‘€
Provider Name / Credentials Updated April 04, 2017

Recorded as KIMBERLY CLARK, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Speech-Language Pathologist (license number reported to NPPES: TX 105425)

βœ…
NPI Profile Active September 09, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2011

Registered at 1308 S AVENUE E, PORTALES, NM 881306846 (Tel: 5752195510)

πŸ“
Business Mailing Address (Initial Record) September 09, 2011

Registered at 1308 S AVENUE E, PORTALES, NM 881306846 (Tel: 5752195510)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2011

Recorded as KIMBERLY CLARK, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2011

Speech-Language Pathologist (license number reported to NPPES: TX 105425)

🟒
Initial NPI Registration & Enumeration September 09, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336421999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2011
Last Update: April 17, 2019
Sole Proprietor: No

Mailing Address

1524 Lexington Rd

Clovis, NM 881014418

Phone: 5752199354

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.