KIMBERLI PAIGE EDMONSON SLP-ASSISTANT
NPI 1790205946
Specialist/Technologist - Speech-Language Assistant in Lakeside, TX

Active since June 20, 2017
8836 LARCH ST, LAKESIDE, TX 76135(817) 454-0857 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 7, 2021, Jun 20, 2017 (3 updates tracked since 2017).

About Kimberli Paige Edmonson Slp-assistant NPPES

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

KIMBERLI PAIGE EDMONSON SLP-ASSISTANT (NPI 1790205946) is an individual speech-language assistant in Lakeside, Texas, licensed in Texas (39555) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1790205946
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameKIMBERLI PAIGE EDMONSONCredential: SLP-ASSISTANT
Location Address8836 LARCH STLakeside, TX 76135-4616
Mailing Address4933 Lemon Grove DrFort Worth, TX 76135-1549 · (817) 454-0857
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
NPI 1790205946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License Licensed in TX · 39555
8836 LARCH ST, Lakeside, TX 76135

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Speech-Language Assistant)
8836 LARCH ST
LAKESIDE, TX 76135

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 Kimberli Edmonson's NPI number?

The NPI number for Kimberli Edmonson is 1790205946. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Kimberli Edmonson located?

Kimberli Edmonson practices at 8836 Larch St, Lakeside, TX 76135. The listed phone number is (817) 454-0857.

What is Kimberli Edmonson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Kimberli Edmonson was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.