Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558619890 Individual Practitioner Female Practitioner

Kristin Michele Kimbro

Speech-Language Pathologist • Longview, TX

Professional Overview & Biography Verified Profile Summary

Kristin Kimbro is a registered healthcare professional specializing in Speech-Language Pathologist in Longview, TX. Practice services are available at 911 W LOOP 281 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

911 W Loop 281
Suite 211-12

Longview, TX 756042900

Telephone 8003404098
Fax 8177896849
Associated Practice Facility / Clinic
🏢 Lifecare Home Nursing Llc Facility NPI 1407864960

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
71 Specialists

Practicing in Longview, TX (17210 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 TX 35694

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

Medicaid State Provider ID
207164901 (TX)
Medicaid State Provider ID
149984001 (TX)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tanya Parra

Physical Therapy Assistant

NPI 1003165515
Jesus Huerta

Speech-Language Pathologist

NPI 1003168477
Elizabeth Wiedower

Occupational Therapist

NPI 1003186263
Laura Daggs , OT

Occupational Therapist - Pediatrics

NPI 1003979832

Occupational Therapist

Meghan Lyle

Occupational Therapist

NPI 1013266972
Lacey Hope

Physical Therapist

NPI 1013281641

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2014

Registered at 911 W LOOP 281, SUITE 211-12, LONGVIEW, TX 756042900 (Tel: 8003404098)

📍
Updated Business Mailing Address July 23, 2014

Registered at 5316 TRAIL LAKE DR, FORT WORTH, TX 761331931 (Tel: 8172928787)

👤
Provider Name / Credentials Updated July 23, 2014

Recorded as KRISTIN KIMBRO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Speech-Language Pathologist (License #35694 in TX)

🟢
Initial NPI Registration & Enumeration August 16, 2012

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: 1558619890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2012
Last Update: July 23, 2014
Sole Proprietor: Yes

Mailing Address

5316 Trail Lake Dr

Fort Worth, TX 761331931

Phone: 8172928787

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.