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Deactivated NPI 1235613308 Deactivated / Inactive NPI Female Practitioner

Symone Rockell Kimble , MS CCC-SLP

Speech-Language Pathologist • Broken Arrow, OK

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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, Symone Kimble has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 24, 2018
NPI Deactivation Date February 17, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

Symone Kimble, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Broken Arrow, OK. Throughout an active medical career spanning 2 years, Symone Kimble provided care at the practice location at 4300 S 209TH EAST AVE until profile deactivation on 2020-02-17.

Practice Location & Contact Primary Location

Practice Address

4300 S 209th East Ave

Broken Arrow, OK 740141584

Telephone 9182594470
Associated Practice Facility / Clinic
🏢 Team Clinics Ah Llc Facility NPI 1982215224

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
155 Specialists

Practicing in Broken Arrow, OK (2489 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 OK 5026

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

2 Associated Practitioners
Tamara Kirkley , SLP

Speech-Language Pathologist

NPI 1508241423

Speech-Language Pathologist

Kristen White , MS, CCC, SLP

Speech-Language Pathologist

NPI 1740764547

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

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 February 17, 2020

Record deactivated on February 17, 2020

NPI Profile Active September 24, 2018

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2018

Registered at 4300 S 209TH EAST AVE, BROKEN ARROW, OK 740141584 (Tel: 9182594470)

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Updated Business Mailing Address September 24, 2018

Registered at 8613 S 88TH EAST AVE, TULSA, OK 741334402 (Tel: 9187019253)

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Provider Name / Credentials Updated September 24, 2018

Recorded as SYMONE KIMBLE, M.S. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2018

Speech-Language Pathologist (License #5026 in OK)

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Initial NPI Registration & Enumeration September 24, 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: 1235613308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2018
Last Update: September 24, 2018
Deactivation Date: February 17, 2020

Mailing Address

8613 S 88th East Ave

Tulsa, OK 741334402

Phone: 9187019253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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