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KIMBERLY JAN TUCKER M.ED., CCC-SLP
NPI 1336131994
Speech-Language Pathologist in Johns Creek, GA

Active since August 19, 2005
10100 GROOMSBRIDGE RD, JOHNS CREEK, GA 30022(770) 880-7684 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Jan Tucker M.ed., Ccc-slp NPPES

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

KIMBERLY JAN TUCKER M.ED., CCC-SLP (NPI 1336131994) is an individual speech-language pathologist provider in Johns Creek, Georgia, licensed in Georgia (SLP00006300) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1336131994
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY JAN TUCKERCredential: M.ED., CCC-SLP
Location Address10100 GROOMSBRIDGE RDJohns Creek, GA 30022-2673
Mailing Address10100 Groomsbridge RdJohns Creek, GA 30022-2673 · (770) 880-7684
Phone(770) 880-7684
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateMay 6, 2022
NPPES CertifiedMay 6, 2022
✔ NPI 1336131994 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 GA · SLP00006300✔ Licensed in GA · PCET001021
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.
10100 GROOMSBRIDGE RD, Johns Creek, GA 30022
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Other Identifiers 3

Medicaid10033374GA
Other52703821 002GA · Blue Cross & Blue Shield
Medicaid637018452AGA

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 Tucker's NPI number?

The NPI number for Kimberly Tucker is 1336131994. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Kimberly Tucker located?

Kimberly Tucker practices at 10100 Groomsbridge Rd, Johns Creek, GA 30022. The listed phone number is (770) 880-7684.

What is Kimberly Tucker'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 Tucker was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.