MRS. KIMBERLY ANNE PORTER (NPI# 1154501518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154501518 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANNE PORTER |
| Credential | MS, CCC-SLP |
| Practice Address |
619 South St Fitchburg MA 01420-6248 |
| Mailing Address |
222 Tuckerman Rd Ashburnham MA 01430-3051 |
| Practice Telephone | 9788270757 |
| Practice Fax Number | 9787034431 |
| Mailing Telephone | 9788270757 |
| Mailing Fax Number | 9787034431 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP 5070-SL | MA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Tuckerman Rd, Ashburnham, MA 014303051 | 9788331887 | 9782525218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1619588894 | Kimberly Michelle Porter | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-08-12 |
| 1376060962 | Kimberly Ann Pauline Porter | Nurse Practitioner | 1400 W State St Ste C, West Lafayette, IN 47906-3438 | 2017-08-24 |
| 1609227289 | Kimberly Porter | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2016-06-25 |
| 1184028284 | Kimberly Porter | Nurse Practitioner | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2014-10-17 |
| 1285072306 | Kimberly Alison Porter | Social Worker | 215 W Beamer St, Woodland, CA 95695-2510 | 2013-06-11 |
| 1619250529 | Kimberly Storey Porter | Nurse Practitioner | 12280 Lake Underhill Rd, Orlando, FL 32825-5009 | 2011-09-27 |
| 1013210996 | Kimberly Porter | Specialist | 2200 S Rural Rd, Tempe, AZ 85282-1411 | 2010-12-14 |
| 1831333434 | Kimberly Terrele Porter | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2009-04-27 |
| 1972771145 | Kimberly Porter | Speech-Language Pathologist | 9 Courthouse Dr, Winfield, WV 25213-9347 | 2008-02-11 |
| Street Address |
619 SOUTH ST |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-6248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201412 | Alexis Kay | Speech-Language Pathologist | 619 South St, Fitchburg, MA 01420-6248 | 2019-12-10 |
| 1952751216 | Core Communication Center, LLC | Speech-Language Pathologist | 619 South St, Fitchburg, MA 01420-6248 | 2016-06-17 |
| 1013309012 | Brooke Wilson | Speech-Language Pathologist | 619 South St, Fitchburg, MA 01420-6248 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342045 | Lisa M Schuebel | Speech-Language Pathologist | 47 Wood Brook Way, Fitchburg, WI 53711-6490 | 2019-02-12 |
| 1114491099 | Nancy Adams | Speech-Language Pathologist | 17 Bailey Way, Fitchburg, WI 53711-5132 | 2019-01-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1659765113 | Shawna Ellingen | Speech-Language Pathologist | 5510 Caddis Bnd Apt 104, Fitchburg, WI 53711-7147 | 2015-03-23 |
| 1003229345 | Sadie Bognar | Speech-Language Pathologist | 2927 S. Fish Hatchery Road, Fitchburg, WI 53711 | 2014-06-04 |
| 1184994725 | Deborah Ann Palmer | Speech-Language Pathologist | 2788 Ledgemont St, Fitchburg, WI 53711-5212 | 2012-01-11 |
| 1225316631 | Faith Leaich | Speech-Language Pathologist | 2990 Cahill Main Ste 204, Fitchburg, WI 53711-7150 | 2011-08-02 |
| 1942533690 | Valerie Veronica Chase | Speech-Language Pathologist | 1840 John Fitch Hwy, Fitchburg, MA 01420 | 2009-09-14 |
| 1124272422 | Jennifer Marie Vyas | Speech-Language Pathologist | 6106 Knotty Pine Way, Fitchburg, WI 53719-5141 | 2008-11-13 |
| 1063692226 | Linda Marie Infantino | Speech-Language Pathologist | 119 Minneapolis Ave, Fitchburg, MA 01420-7060 | 2007-11-05 |
| Find all providers in FITCHBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.