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Active NPI 1003617507 Individual Practitioner Female Practitioner

Michaela Rose Kimball

Specialist/Technologist - Speech-Language Assistant • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Michaela Kimball is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Clovis, CA. Practice services are available at 3066 PORTALS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3066 Portals Ave

Clovis, CA 936199380

Telephone 5592811095
Associated Practice Facility / Clinic
🏢 Inclusion Learning Services Facility NPI 1578251468

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Clovis, CA (2543 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

CMS Verified: 2025-03-20
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License CA 7450

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Melissa Bertao , MA CCC-SLP

Speech-Language Pathologist

NPI 1285008334

MACCCSLP

Vanessa Grimsley , SLPA

Specialist/Technologist, Pathology

NPI 1841086493

Speech-Language Pathology Assistant

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2025

Registered at 3066 PORTALS AVE, CLOVIS, CA 936199380 (Tel: 5592811095)

📍
Updated Business Mailing Address March 20, 2025

Registered at 3066 PORTALS AVE, CLOVIS, CA 936199380 (Tel: 5592811095)

👤
Provider Name / Credentials Updated March 20, 2025

Recorded as MICHAELA KIMBALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Specialist/Technologist (License #7450 in CA)

🟢
Initial NPI Registration & Enumeration March 20, 2025

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: 1003617507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2025
Last Update: March 20, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3066 Portals Ave

Clovis, CA 936199380

Phone: 5592811095

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.