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Deactivated NPI 1417464108 Deactivated / Inactive NPI Female Practitioner

Kimberly J. Chase

Speech-Language Pathologist • Cary, NC

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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 Chase has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2018
NPI Deactivation Date March 12, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Kimberly Chase was a registered Speech-Language Pathologist practicing in Cary, NC. Throughout an active medical career spanning 1 years, Kimberly Chase provided care at the practice location at 110 CORNING RD until profile deactivation on 2018-03-12.

Practice Location & Contact Primary Location

Practice Address

110 Corning Rd

Cary, NC 275189229

Telephone 9194317400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cary, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
277 Specialists

Practicing in Cary, NC (7242 Statewide)

Telehealth Adoption Rate
0.7% 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: 2026-05-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

40 Associated Practitioners
Alicia Picou , MA CCC-SLP

Speech-Language Pathologist

NPI 1013173079

MACCCSLP

Mary Lash , SLP-CCC

Speech-Language Pathologist

NPI 1013345420

SLPCCC

Madalyn Payden , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1013779685

Master of Science, Occupational Therapist Registered, L

Isla Brownell

Occupational Therapist

NPI 1013859016
Julia Skinner

Speech-Language Pathologist

NPI 1013859974
Sean Nixon , PT

Physical Therapist

NPI 1023290079

Physical Therapist

Career & Practice History Timeline

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

13 Historical Events
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Updated Practice Location May 10, 2026

Registered at 110 CORNING RD, CARY, NC 275189229 (Tel: 9194317400)

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Updated Business Mailing Address May 10, 2026

Registered at 5307 SIX FORKS RD, RALEIGH, NC 276094433

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Updated Practice Location January 17, 2020

Registered at 1330 E ARLINGTON BLVD STE A, GREENVILLE, NC 278587850 (Tel: 2527587048)

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Updated Business Mailing Address January 17, 2020

Registered at 2804 HALFHITCH TRL, RALEIGH, NC 276153949

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Provider Name / Credentials Updated January 17, 2020

Recorded as KIMBERLY CHASE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Speech-Language Pathologist

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NPI Profile Deactivated March 12, 2018

Record deactivated on March 12, 2018

NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2018

Registered at 1330 E ARLINGTON BLVD STE A, GREENVILLE, NC 278587850 (Tel: 2527587048)

📍
Updated Business Mailing Address January 04, 2018

Registered at 2804 HALFHITCH TRL, RALEIGH, NC 276153949

👤
Provider Name / Credentials Updated January 04, 2018

Recorded as KIMBERLY CHASE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Speech-Language Pathologist

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Initial NPI Registration & Enumeration January 04, 2018

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: 1417464108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2018
Last Update: May 10, 2026
Deactivation Date: March 12, 2018
Sole Proprietor: No

Mailing Address

5307 Six Forks Rd

Raleigh, NC 276094433

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.