Active NPI 1376830331 Individual Practitioner Female Practitioner

Kimberly Ducker

Specialist/Technologist - Speech-Language Assistant • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Kimberly Ducker is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in San Diego, CA. Practice services are available at 12625 HIGH BLUFF DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12625 High Bluff Dr
Suite #113

San Diego, CA 921302052

Telephone 8584884810

Associated Practice Facility / Clinic

🏢 Lagasse Yates, Inc Facility NPI 1902851900

Specialty Benchmarks & Practice Insights

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

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 3.3 Yrs

Regional Practice Density

50 Specialists

Practicing in San Diego, 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

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License CA 1429

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners

Jennifer Frost , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013210590

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Theresa Wetherhold , MS

Speech-Language Pathologist

NPI 1093135899

Master of Science

Kris Gremillion , CCC-SLP, COM

Speech-Language Pathologist

NPI 1457604639

Speech-Language Pathologist (Certificate of Clinical Competence), COM

Katie Tiemeyer , MA CCC-SLP

Speech-Language Pathologist

NPI 1609284769

MACCCSLP

Brooke Pulley , MOTR, L

Occupational Therapist

NPI 1790199644

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2011

Registered at 12625 HIGH BLUFF DR, SUITE #113, SAN DIEGO, CA 921302052 (Tel: 8584884810)

📍

Updated Business Mailing Address June 28, 2011

Registered at 12625 HIGH BLUFF DR, SUITE #113, SAN DIEGO, CA 921302052

👤

Provider Name / Credentials Updated June 28, 2011

Recorded as KIMBERLY DUCKER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2011

Specialist/Technologist (License #1429 in CA)

🟢

Initial NPI Registration & Enumeration June 28, 2011

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: 1376830331

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2011

Last Update: June 28, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12625 High Bluff Dr, Suite #113

San Diego, CA 921302052

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.