MRS. KIMBERLY MARIE DOUGLAS (NPI# 1609941962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609941962 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY MARIE DOUGLAS |
| Practice Address |
1625 W Geronimo St Chandler AZ 85224-5616 |
| Mailing Address |
1625 West Geronimo Street Chandler AZ 85224 |
| Practice Telephone | 4807820572 |
| Mailing Telephone | 4807820572 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLPL5190 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533153 | Kimberly Mark Douglas | Optometrist | 15640 Don Lochman Ln Ste C, Charlotte, NC 28277-4442 | 2009-09-08 |
| 1154448561 | Kimberly Brooke Douglas | Case Manager/Care Coordinator | 90 North Thirty First, Clinton, OK 73601 | 2007-03-23 |
| 1609387463 | Kimberly Candece Douglas | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2017-10-19 |
| 1558711077 | Kimberly Douglas | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2016-06-15 |
| 1508268962 | Kimberly Douglas | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2014-09-17 |
| 1932406659 | Kimberly Ann Douglas | Counselor | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2011-02-15 |
| 1578786315 | Kimberly Douglas | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1619017670 | Kimberly A Douglas | Pediatrics | 27800 Medical Center Rd, Suite 138, Mission Viejo, CA 92691-6410 | 2007-02-07 |
| 1770675738 | Kimberly Marie Douglas | Family Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2006-09-28 |
| Street Address |
1625 W GERONIMO ST |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| 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 |
|---|---|---|---|---|
| 1043825383 | Alexis Roth | Speech-Language Pathologist | 932 W Chandler Blvd Ste 2, Chandler, AZ 85225-4518 | 2020-09-14 |
| 1508475146 | Meagan Louise Rushforth | Speech-Language Pathologist | 1350 N Lakeshore Dr, Chandler, AZ 85226-7200 | 2020-07-29 |
| 1912553553 | Speech Therapy Time LLC | Speech-Language Pathologist | 4708 E County Down Dr, Chandler, AZ 85249-7342 | 2019-08-09 |
| 1558849588 | Kayleigh Durigg | Speech-Language Pathologist | 777 N Desert Breeze Blvd E Bldg 1, Chandler, AZ 85226-6218 | 2018-08-01 |
| 1780176321 | Kelsey Lynn Homan | Speech-Language Pathologist | 932 W Chandler Blvd Ste 3, Chandler, AZ 85225-4518 | 2018-05-30 |
| 1467941021 | Rachel Krull | Speech-Language Pathologist | 2777 S Arizona Ave Apt 3184, Chandler, AZ 85286-1823 | 2018-05-08 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1043739493 | Alison Anne Thomas | Speech-Language Pathologist | 1405 N Dobson Rd Ste 3, Chandler, AZ 85224-8594 | 2017-09-18 |
| 1316464795 | Amy Grulke, Pllc | Speech-Language Pathologist | 2950 N Dobson Rd Ste 3, Chandler, AZ 85224-1819 | 2017-08-25 |
| 1336662162 | Julia Cai | Speech-Language Pathologist | 2425 S Pleasant Dr, Chandler, AZ 85286-7654 | 2017-07-24 |
| Find all providers in CHANDLER | ||||
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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.