NICOLE VAHDAT SLP
NPI 1376413997
Speech-Language Pathologist in Beaverton, OR

Q: What is Nicole Vahdat's NPI number?

The NPI number for Nicole Vahdat is 1376413997. It was assigned to this individual provider in the NPPES registry on November 8, 2025. The provider is also known as Nicole Dersimonian.

Q: What is Nicole Vahdat's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Vahdat was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since November 08, 2025

13349 SW PARKWAY, BEAVERTON, OR 97005(559) 260-9792 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Nov 19, 2025, Nov 8, 2025 (3 updates tracked since 2025).

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About Nicole Vahdat Slp NPPES

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

NICOLE VAHDAT SLP (NPI 1376413997) is an individual speech-language pathologist provider in Beaverton, Oregon, licensed in Oregon (016439) and active in the NPI registry since November 2025. She maintains 2 additional practice locations and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376413997

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameNICOLE VAHDATCredential: SLP

Location Address13349 SW PARKWAYBeaverton, OR 97005-0948

Mailing Address13349 Sw ParkwayBeaverton, OR 97005-0948 · (559) 260-9792

Phone(559) 260-9792

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 8, 2025

Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1376413997 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 OR · 016439

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.

13349 SW PARKWAY, Beaverton, OR 97005

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Other Names 1

Former Name (1)Nicole Dersimonian

Secondary Practice Locations 2

Location 110180 SE Sunnyside RdClackamas, OR 97015-8970 · Phone (800) 813-2000

Location 24855 SW Western AveBeaverton, OR 97005-3460 · Phone (800) 813-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Vahdat Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628553641

PECOS Enrollment IDI20260327002178

Medicare Billing Reassignment

Medicare enrollment records show Nicole Vahdat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaverton Rehab & Specialty Care, LLC

0.6 mi

Skilled Nursing Facility

11850 SW ALLEN BLVD
Beaverton, OR 97005

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
3,207 clinicians in this Medicare group

NPI 1366469330 (503) 646-7164

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 Nicole Vahdat's NPI number?

The NPI number for Nicole Vahdat is 1376413997. It was assigned to this individual provider in the NPPES registry on November 8, 2025. The provider is also known as Nicole Dersimonian.

Where is Nicole Vahdat located?

Nicole Vahdat practices at 13349 SW Parkway, Beaverton, OR 97005. The listed phone number is (559) 260-9792.

What is Nicole Vahdat's specialty?

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

Is Nicole Vahdat enrolled in Medicare?

Yes. Nicole Vahdat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Vahdat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Vahdat reassigns Medicare benefits to Beaverton Rehab & Specialty Care, LLC (Beaverton, OR). The 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 Nicole Vahdat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Vahdat was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.