KIMBERLY ROSE REILY MA, CCC-SLP
NPI 1174697429
Speech-Language Pathologist in Winthrop, ME

Active since November 20, 2006
289 STANLEY RD, WINTHROP, ME 04364(207) 931-6319 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 12, 2024, May 17, 2021 (2 updates tracked since 2021).

About Kimberly Rose Reily Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ROSE REILY MA, CCC-SLP (NPI 1174697429) is an individual speech-language pathologist provider in Winthrop, Maine, licensed in Maine (SP1675) and active in the NPI registry since November 2006. She maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1174697429
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY ROSE REILYCredential: MA, CCC-SLP
Location Address289 STANLEY RDWinthrop, ME 04364-3336
Mailing Address289 Stanley RdWinthrop, ME 04364-3336 · (207) 931-6319
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1174697429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in ME · SP1675 Licensed in MD · 06331
Definition
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.
289 STANLEY RD, Winthrop, ME 04364

Other Names 1

Former Name (1)Kimberly Rose Gordon

Secondary Practice Location 1

Location 1146 State House StaAugusta, ME 04333-3336 · Phone (207) 624-6660

Other Identifiers 2

Other098471ME · Anthem
Medicaid432325699ME

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Reily's NPI number?

The NPI number for Kimberly Reily is 1174697429. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Kimberly Rose Gordon.

Where is Kimberly Reily located?

Kimberly Reily practices at 289 Stanley Rd, Winthrop, ME 04364. The listed phone number is (207) 931-6319.

What is Kimberly Reily's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Reily was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.