Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568804268 Individual Practitioner Female Practitioner

Jackie Doermann Kimbro , CCC-SLP

Speech-Language Pathologist • Madison, AL

Professional Overview & Biography Verified Profile Summary

Jackie Kimbro, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Madison, AL. Practice services are available at 25958 MELROSE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25958 Melrose Ln

Madison, AL 357563064

Telephone 2566935252
Fax 8556922414
Associated Practice Facility / Clinic
🏢 Speechtime, Inc Facility NPI 1073924064

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Madison, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
37 Specialists

Practicing in Madison, AL (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AL 2815

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164512 (AL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2015

Registered at 25958 MELROSE LN, MADISON, AL 357563064 (Tel: 2566935252)

📍
Updated Business Mailing Address February 09, 2015

Registered at 25958 MELROSE LN, MADISON, AL 357563064 (Tel: 2566935252)

👤
Provider Name / Credentials Updated February 09, 2015

Recorded as JACKIE KIMBRO, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2015

Speech-Language Pathologist (License #2815 in AL)

🟢
Initial NPI Registration & Enumeration July 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568804268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2013
Last Update: February 09, 2015
Sole Proprietor: Yes

Mailing Address

25958 Melrose Ln

Madison, AL 357563064

Phone: 2566935252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.