KIMBERLY NELSON (NPI# 1063989218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063989218 |
| Entity Type | Individual |
| Full Name | KIMBERLY NELSON |
| Practice Address |
5535 S Williamson Blvd Port Orange FL 32128-8311 |
| Mailing Address |
159 S 17th St Fl 2 Pittsburgh PA 15203-1749 |
| Practice Telephone | 8882652680 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL60871180 | WA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182669 | Kimberly Joan Nelson | Occupational Therapist | 23 Red Gate Ln, Franklin, MA 02038-1365 | 2020-10-21 |
| 1962058362 | Kimberly Diane Nelson | Nurse Practitioner | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-08-13 |
| 1477036234 | Kimberly Paige Nelson | Licensed Practical Nurse | 218 Indian Creek Rd, Jacksboro, TN 37757-3018 | 2018-09-07 |
| 1760835565 | Kimberly Nelson | Massage Therapist | 202 Desoto Dr, Nashville, TN 37210-5108 | 2016-07-16 |
| 1689084766 | Kimberly Nelson | Chiropractor | 5301 Longley Ln Ste 43, Reno, NV 89511-1807 | 2014-04-29 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1033308424 | Kimberly Nelson | Occupational Therapist | 3609 146th Ave Ne, Ham Lake, MN 55304-6415 | 2007-10-22 |
| 1558554477 | Kimberly R Nelson | Developmental Therapist | 3037 Coral Strip Pkwy, Gulf Breeze, FL 32563-2773 | 2007-08-23 |
| 1518157924 | Kimberly Suezanne Nelson | Mechanotherapist | 4220 Shasta Way, Klamath Falls, OR 97603-4842 | 2007-07-31 |
| 1356497325 | Kimberly Lane Nelson | Counselor | 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185 | 2007-01-25 |
| Street Address |
5535 S WILLIAMSON BLVD |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-8311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371312 | Johnna Mantineo | Family Medicine | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8311 | 2006-01-26 |
| 1003415670 | Erin Kwiatkowski | Physical Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-10-23 |
| 1932714045 | Alicia Bommarito | Occupational Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-09-15 |
| 1205449717 | Amanda Breitenbach | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-25 |
| 1619589934 | Emily Ford | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-18 |
| 1942811237 | Taylor Bruce | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-11 |
| 1376169706 | Christina Debiasio | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-06-22 |
| 1023634425 | Emily Symons | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-06-22 |
| 1083251581 | Paige Tschop | Physical Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-12-03 |
| 1205471810 | Sarah Blake | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| 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 |
|---|---|---|---|---|
| 1558975904 | Theresa Patricia Blackwood | Speech-Language Pathologist | 446 Wiltshire Blvd, Port Orange, FL 32127-6026 | 2020-09-03 |
| 1609357193 | Dana Kaufman | Speech-Language Pathologist | 900 N Swallow Tail Dr Ste 107, Port Orange, FL 32129-6103 | 2018-08-23 |
| 1881185163 | Kelly Lynn Wozniak | Speech-Language Pathologist | 5517 Estero Loop, Port Orange, FL 32128-0006 | 2018-05-23 |
| 1184115560 | Kylie A Buatsi | Speech-Language Pathologist | 6140 Sequoia Dr, Port Orange, FL 32127-6761 | 2018-05-22 |
| 1760725170 | Carolyn Ann Hovey | Speech-Language Pathologist | 617 Amy Lee Cir, Port Orange, FL 32127-7542 | 2013-04-03 |
| 1932469061 | Caitlin Patricia Varga | Speech-Language Pathologist | 807 Banbury Dr, Port Orange, FL 32129-3752 | 2012-05-23 |
| 1518267046 | Corin M Miller | Speech-Language Pathologist | 4645 S Clyde Morris Blvd, Suite 407, Port Orange, FL 32129-3004 | 2010-11-01 |
| 1326228974 | Virginia Smith Wiley-sylvia | Speech-Language Pathologist | 4573 Miles Drive, Port Orange, FL 32127 | 2007-11-13 |
| 1922148451 | Ivonne Carmen Randolph | Speech-Language Pathologist | 5791 Falling Tree Ln, Port Orange, FL 32127-7993 | 2007-02-07 |
| 1689760977 | Lauren Birch | Speech-Language Pathologist | 4081 Clock Tower Drive, Port Orange, FL 32129-4518 | 2006-10-05 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
Please comment or provide details below to improve the information on KIMBERLY NELSON.
| 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.