KIMBERLY TICE (NPI# 1942512652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942512652 |
| Entity Type | Individual |
| Full Name | KIMBERLY TICE |
| Other Name | KIMBERLY CRESCENTE |
| Credential | M.S., CCC-SLP |
| Practice Address |
2685 Executive Park Dr Suite 5 Weston FL 33331-3651 |
| Mailing Address |
2350 Nw 33rd St Apt 802 Oakland Park FL 33309-6460 |
| Practice Telephone | 9543729710 |
| Mailing Telephone | 5162790234 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2012-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA10982 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 020090-1 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003659000 | 05 |
| Street Address |
2685 EXECUTIVE PARK DR SUITE 5 |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743930 | Weston Dialysis Center LLC | Clinic/Center | 2685 Executive Park Dr, Ste 1, Weston, FL 33331-3651 | 2006-03-11 |
| 1568073823 | Wesley Roland Innocent Jr. | Physical Medicine & Rehabilitation | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-08-11 |
| 1962029991 | Jessica Weaver | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-06-25 |
| 1508496704 | David E Rubell | Occupational Therapy Assistant | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-01-16 |
| 1710432489 | Kenia I Lewis | Occupational Therapist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2016-08-23 |
| 1346627288 | Cassandra Michelle Gubnitsky | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2015-04-29 |
| 1205239621 | Deanna Smith | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2014-09-30 |
| 1962756692 | Rebecca Alexandra Casas | Occupational Therapist | 2685 Executive Park Dr, Suite 5, Weston, FL 33331-3651 | 2012-11-02 |
| 1982995668 | Cynthia Ann Dominguez | Speech-Language Pathologist | 2685 Executive Park Dr, Suite 4, Weston, FL 33331-3651 | 2011-04-28 |
| 1699929752 | Jaime Antonio Correa | Occupational Therapist | 2685 Executive Park Dr, Suite 4, Weston, FL 33331-3651 | 2008-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| 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 |
|---|---|---|---|---|
| 1144847807 | Nicole Francine Smith | Speech-Language Pathologist | 1643 Victoria Pointe Cir, Weston, FL 33327-1311 | 2020-06-29 |
| 1952958209 | Weston Speech Doctor | Speech-Language Pathologist | 1825 Main St Ste 201, Weston, FL 33326-3683 | 2019-08-21 |
| 1326604901 | Emily Gayle Collins | Speech-Language Pathologist | 4328 Fox Ridge Dr, Weston, FL 33331-4004 | 2019-05-19 |
| 1144729484 | Dinah Raquel Cassidy | Speech-Language Pathologist | 12 White Birch Rdg, Weston, CT 06883-3015 | 2018-02-01 |
| 1235589425 | Pinzon Therapy, LLC | Speech-Language Pathologist | 380 Racquet Club Rd, 206, Weston, FL 33326-1125 | 2016-06-17 |
| 1528430758 | Keri Kaplan | Speech-Language Pathologist | 16713 Amber Lk, Weston, FL 33331-3165 | 2015-10-27 |
| 1578949319 | Ashley Elizabeth Maiava | Speech-Language Pathologist | 539 Main Street, Weston, MO 64098 | 2015-08-04 |
| 1407253107 | Jill Marie Magaldi | Speech-Language Pathologist | 1347 Seagrape Cir, Weston, FL 33326-2726 | 2014-11-24 |
| 1467857953 | Star Kids LLC | Speech-Language Pathologist | 16320 S Post Rd, Apt 303, Weston, FL 33331-3553 | 2014-10-27 |
| 1558761049 | Ella Pulido | Speech-Language Pathologist | 881 Garnet Cir, Weston, FL 33326-3900 | 2014-09-03 |
| Find all providers in WESTON | ||||
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| 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.