Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790824860 Individual Practitioner Female Practitioner

Kimberly R Smith , MA CCC-SLP

Speech-Language Pathologist • Key West, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Smith, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Key West, FL. Practice services are available at 3641 NORTHSIDE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3641 Northside Ct

Key West, FL 330404258

Telephone 3053934277
Fax 3052924783

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Key West, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Key West, FL (11640 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 FL SA 11616

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

State License FL SA11616

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL HO451A

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NY 010607-1

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

Commercial Insurance / Payer ID Medicare Part B
HO451A (FL)
Commercial Insurance / Payer ID Asha Certification Number
09126830
Commercial Insurance / Payer ID New York State License #
010607-1 (NY)
Commercial Insurance / Payer ID State Of Florida Department Of Health License #
SA 11616 (FL)

Career & Practice History Timeline

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

12 Historical Events
NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2017

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

📍
Updated Business Mailing Address August 11, 2017

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

👤
Provider Name / Credentials Updated August 11, 2017

Recorded as KIMBERLY SMITH, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Developmental Therapist (License #SA11616 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Speech-Language Pathologist (License #SA 11616 in FL)

NPI Profile Active August 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2013

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

📍
Updated Business Mailing Address August 25, 2013

Registered at 3641 NORTHSIDE CT, KEY WEST, FL 330404258 (Tel: 3053934277)

👤
Provider Name / Credentials Updated August 25, 2013

Recorded as KIMBERLY SMITH, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2013

Speech-Language Pathologist (License #SA 11616 in FL)

🟢
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790824860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: August 11, 2017
Sole Proprietor: No

Mailing Address

3641 Northside Ct

Key West, FL 330404258

Phone: 3053934277

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.