MRS. JOHNNA L. KIMBLE (NPI# 1316129836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316129836 |
| Entity Type | Individual |
| Full Name | MRS. JOHNNA L. KIMBLE |
| Credential | M.S., CCC-SLP |
| Practice Address |
323 S 5th St Clayton NM 88415-2641 |
| Mailing Address |
101 N 2nd St Raton NM 87740-3803 |
| Practice Telephone | 5053749313 |
| Practice Fax Number | 5053748844 |
| Mailing Telephone | 5054457090 |
| Mailing Fax Number | 5054457663 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4186 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 64075362 | 05 |
| Street Address |
323 S 5TH ST |
| City | CLAYTON |
| State | NM |
| Zip Code | 88415-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174038103 | Jayme Shelly Trujillo | Registered Nurse | 323 S 5th St, Clayton, NM 88415-2641 | 2017-12-13 |
| 1215283189 | Hannah Beck Wells | Social Worker | 323 S 5th St, Clayton, NM 88415 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578954384 | Jeremy Sanchez | Counselor | 17 B South Second St, Clayton, NM 88415 | 2015-02-16 |
| 1841697901 | Morgan Scott | Counselor | 17 B S. Second St, Clayton, NM 88415 | 2014-12-04 |
| 1891028858 | Mary Blan | Counselor | 15 Oak Street, Clayton, NM 88415 | 2009-09-09 |
| 1487887774 | Krista R. Trujillo | Counselor | 17 B S Second St, Clayton, NM 88415 | 2009-09-02 |
| 1295918324 | Southwest Family Medical Care, Inc. | Clinic/Center | 200 Court St., Clayton, NM 88415 | 2007-12-12 |
| 1447344585 | Town of Clayton | Ambulance | 1 Chestnut Street, Clayton, NM 88415 | 2006-10-03 |
| 1699871426 | Michelle A Paquin | Nurse Practitioner | 185 Dr. Michael Jenkins Road, Cms Medical Unit, Clayton, NM 88415 | 2006-09-16 |
| 1033213681 | Sharon L Gonzales | Specialist | 110 Walnut Street Office B, Clayton, NM 88415 | 2006-09-12 |
| 1114979275 | Gary D Longanecker | Counselor | 110 Walnut Street, Office B, Clayton, NM 88415 | 2006-05-17 |
| 1821048695 | Nilo Isidro Rivera | Internal Medicine | 314 North 3rd Av, Clayton, NM 88415 | 2006-05-11 |
| Find all providers in zip 88415 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043978 | Shannon Hardee | Speech-Language Pathologist | Clayton Elementary, 510 Main Street, Clayton, DE 19938 | 2019-09-20 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1245748565 | Bree Hickox Bragg | Speech-Language Pathologist | 8857 Highway 76 W, Clayton, GA 30525-3706 | 2018-01-22 |
| 1639694656 | Jillian Sherrin | Speech-Language Pathologist | 205 Magnolia Cir, Clayton, NC 27527-8875 | 2017-08-10 |
| 1811417421 | Prime Legacy Rehabilitation Services, Pllc | Speech-Language Pathologist | 813 Yorkshire Dr, Clayton, NC 27520-2956 | 2017-06-24 |
| 1700314804 | Emily Roberts | Speech-Language Pathologist | 190 Mt Wilson Way, Clayton, CA 94517-1645 | 2017-06-01 |
| 1093179327 | Megan Bland | Speech-Language Pathologist | 301 Swann Trl, Clayton, NC 27527-6504 | 2016-04-12 |
| 1740603661 | Early Speech Services. | Speech-Language Pathologist | 68 Bent Creek Court, Clayton, NC 27527 | 2014-01-29 |
| 1871854240 | A To Z Speech Therapy Pllc | Speech-Language Pathologist | 212 W Moss Creek Dr, Clayton, NC 27520-6912 | 2012-06-01 |
| 1023397601 | Jessica Masciarelli | Speech-Language Pathologist | 54 Bexley Way, Clayton, NC 27527-3344 | 2011-08-12 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.