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Deactivated NPI 1134338692 Deactivated / Inactive NPI Female Practitioner

Kimberly Ann Gage , MA, SLP-CCC

Speech-Language Pathologist • Wauchula, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberly Gage has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2007
NPI Deactivation Date April 22, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Kimberly Gage, MA, SLP-CCC was a registered Speech-Language Pathologist practicing in Wauchula, FL. Throughout an active medical career spanning 12 years, Kimberly Gage provided care at the practice location at 1962 VANDOLAH RD until profile deactivation on 2019-04-22.

Practice Location & Contact Primary Location

Practice Address

1962 Vandolah Rd

Wauchula, FL 338738726

Telephone 8637734425
Associated Practice Facility / Clinic
🏢 Lakeside Snf Llc Facility NPI 1861093981

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wauchula, FL

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

Practicing in Wauchula, 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 SA5720

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Hunter Williams , PT

Physical Therapist

NPI 1326258559

Physical Therapist

Sarah Harvey , OT

Occupational Therapist

NPI 1467406793

Occupational Therapist

Rebecca Block , CCC-SLP

Speech-Language Pathologist

NPI 1467662940

Speech-Language Pathologist (Certificate of Clinical Competence)

Melissa Johnston , OTRL

Occupational Therapist

NPI 1467674341

Occupational Therapist Registered & Licensed

Susan Ralston , CCC-SLP

Speech-Language Pathologist

NPI 1639389695

Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Raden , OTRL

Occupational Therapist - Neurorehabilitation

NPI 1760694582

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 22, 2019

Record deactivated on April 22, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1962 VANDOLAH RD, WAUCHULA, FL 338738726 (Tel: 8637734425)

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Updated Business Mailing Address July 08, 2007

Registered at 12329 HEALEY SUMMIT LN, RIVERVIEW, FL 335697708 (Tel: 9417733961)

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Provider Name / Credentials Updated July 08, 2007

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

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA5720 in FL)

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Initial NPI Registration & Enumeration May 22, 2007

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: 1134338692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Deactivation Date: April 22, 2019

Mailing Address

12329 Healey Summit Ln

Riverview, FL 335697708

Phone: 9417733961

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.