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MRS. KIMBERLY SUZANNE NIEVES M.S. CCC-SLP
NPI 1114236296
Speech-Language Pathologist in Dallas, TX

Active since October 06, 2010Accepts Medicare Assignment
2217 IVAN ST, 1021, DALLAS, TX 75201(817) 458-2908 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kimberly Suzanne Nieves M.s. Ccc-slp NPPES

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

MRS. KIMBERLY SUZANNE NIEVES M.S. CCC-SLP (NPI 1114236296) is an individual speech-language pathologist provider in Dallas, Texas, licensed in Florida (SA22408) and active in the NPI registry since October 2010. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1114236296
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KIMBERLY SUZANNE NIEVESCredential: M.S. CCC-SLP
Location Address2217 IVAN ST, 1021Dallas, TX 75201-1074
Mailing Address2217 Ivan St, 1021Dallas, TX 75201-1074 · (817) 458-2908
Phone(817) 458-2908
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 6, 2010
Last NPPES UpdateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1114236296 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
License✔ Licensed in FL · SA22408
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.
2217 IVAN ST, Dallas, TX 75201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Suzanne Nieves M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012455157
PECOS Enrollment IDI20240917000844, I20241113001989

Medicare Billing Reassignments

3

Medicare enrollment records show Kimberly Nieves reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Expressable Therapy PC
177 mi
Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Nevada and Tennessee enrollments
  • 5 clinicians in this Medicare group
NPI 1134875370 (512) 377-6318
Expressable Speech-Language Pathology, P.C.
180 mi
Speech-Language Pathologist
3800 N LAMAR BLVD STE 200
Austin, TX 78756
  • Reassigned Medicare billing, Florida and Texas enrollments
  • Medicare enrollment name: Expressable Speech-Language Pathology PC
  • 113 clinicians in this Medicare group
NPI 1649875857 (512) 377-6318
Great Therapy Group LLC
1,104 mi
Speech-Language Pathologist
3389 SHERIDAN ST, SUITE #113
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1568886471 (954) 247-8757

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nieves's NPI number?

The NPI number for Kimberly Nieves is 1114236296. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Kimberly Nieves located?

Kimberly Nieves practices at 2217 Ivan St 1021, Dallas, TX 75201. The listed phone number is (817) 458-2908.

What is Kimberly Nieves's specialty?

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

Is Kimberly Nieves enrolled in Medicare?

Yes. Kimberly Nieves is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Nieves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Nieves reassigns Medicare benefits to 3 organizations: Expressable Therapy PC (Austin, TX), Expressable Speech-Language Pathology, P.C. (Austin, TX) and Great Therapy Group LLC (Hollywood, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Nieves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Nieves accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Kimberly Nieves as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Nieves was last updated on September 4, 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.