Active NPIIndividual provider

Mrs. Kimberly A Porter, MS, CCC-SLP

Speech-Language Pathologist, in Fitchburg, Massachusetts

NPI Number1154501518
Practice location
619 South St, Fitchburg, MA 01420-6248
Fax
978-703-4431
Last updated
June 24, 2021

Kimberly Anne Porter is a Speech-Language Pathologist, based in Fitchburg, MA. Kimberly Anne Porter practices in Fitchburg, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Kimberly Anne Porter is 1154501518 and holds a License No. SP 5070-SL (MA). The current practice location address for Kimberly Anne Porter is 619 South St, Fitchburg, MA 01420-6248 and can be reached out via phone at 978-827-0757 and via fax at 978-703-4431.

Provider Profile Details

NPI Number
1154501518
Provider Name
Kimberly Anne Porter
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
619 South St, Fitchburg, MA 01420-6248
Phone Number
978-827-0757
Fax Number
978-703-4431
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 13, 2007
Last Update Date
June 24, 2021
Certification Date
June 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
619 South St
Fitchburg, MA 01420-6248
Zip
01420-6248
Phone Number
978-827-0757
Fax Number
978-703-4431
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
66 Saw Mill Pond RD
Fitchburg, MA 01420-6041
City
Fitchburg
State
MA
Zip
01420-6041
Phone Number
978-827-0757
Fax Number
978-703-4431

License Information

License Number
SP 5070-SL
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly A Porter, MS, CCC-SLP?

The NPI number of Mrs. Kimberly A Porter, MS, CCC-SLP is 1154501518. It was assigned on November 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly A Porter, MS, CCC-SLP?

Mrs. Kimberly A Porter, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SP 5070-SL.

Where does Mrs. Kimberly A Porter, MS, CCC-SLP practice?

The practice location is 619 South St, Fitchburg, MA 01420-6248. The office can be reached at 978-827-0757 (phone) or 978-703-4431 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154501518 directly on the NPPES registry website.

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