KIMBERLY ANTHONY (NPI# 1194888560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194888560 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANTHONY |
| Credential | CCC-SLP |
| Practice Address |
631 Summerwind Dr Macon GA 31210-1547 |
| Practice Telephone | 4784775483 |
| Practice Fax Number | 4784059400 |
| Mailing Telephone | 4784775483 |
| Mailing Fax Number | 4784059400 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP005658 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 450232914A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750841599 | Kimberly Lashaun Anthony | Community/Behavioral Health | 1517 Lily Pond Rd, Albany, GA 31701-7771 | 2019-03-20 |
| 1689024200 | Kimberly Anthony | Occupational Therapy Assistant | 3603 W Granada St, Tampa, FL 33629-6917 | 2016-06-14 |
| 1316378235 | Kimberly Anthony | Audiologist | 270 E State St, Suite 245, Alliance, OH 44601-4957 | 2013-12-03 |
| 1700026622 | Kimberly Anthony | Rehabilitation Practitioner | 14660 Oxnard St, Van Nuys, CA 91411-3119 | 2009-03-05 |
| Street Address |
631 SUMMERWIND DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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 |
|---|---|---|---|---|
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1396103552 | Tracy Lucas | Speech-Language Pathologist | 127 River Forest Drive, Macon, GA 31211-6323 | 2016-02-03 |
| 1871961763 | Talia Rogers | Speech-Language Pathologist | 5021 Mercer University Dr, D3, Macon, GA 31210-5691 | 2015-09-09 |
| 1295116267 | Mable Anderson | Speech-Language Pathologist | 946 Summit Ave, Macon, GA 31211-1818 | 2015-06-15 |
| 1992112056 | Marilyn Martinez-bosch | Speech-Language Pathologist | 1872 Waverland Dr, Macon, GA 31211-1122 | 2014-07-21 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1326320102 | Deirdre Lynne Maybank | Speech-Language Pathologist | 2720 Sheraton Dr, Suite D-140, Macon, GA 31204-1167 | 2011-09-16 |
| 1720308893 | Carla W Holt | Speech-Language Pathologist | 441 Ashville Dr, Macon, GA 31210-1684 | 2010-06-10 |
| 1053642454 | Carrie Mcelreath | Speech-Language Pathologist | 258 Belvedere Dr, Macon, GA 31204-1859 | 2010-01-25 |
| 1497986327 | Cassandra D Gaskins | Speech-Language Pathologist | 291 Plantation Centre Dr N Apt 2516, Macon, GA 31210-9245 | 2009-07-27 |
| Find all providers in MACON | ||||
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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.