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KIMBERLY LAVACCA MS, CCC-SLP
NPI 1396327219
Speech-Language Pathologist in Chesapeake, VA

Active since April 21, 2021Accepts Medicare Assignment
680 KINGSBOROUGH SQ STE B, CHESAPEAKE, VA 23320(757) 547-0434(575) 470-6257 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2022, Apr 21, 2021 (2 updates tracked since 2021).

About Kimberly Lavacca Ms, Ccc-slp NPPES

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

KIMBERLY LAVACCA MS, CCC-SLP (NPI 1396327219) is an individual speech-language pathologist provider in Chesapeake, Virginia, licensed in Virginia (2202010342) and active in the NPI registry since April 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1396327219
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY LAVACCACredential: MS, CCC-SLP
Location Address680 KINGSBOROUGH SQ STE BChesapeake, VA 23320-4988
Mailing Address1377 Motor Pkwy Ste 307Islandia, NY 11749-5258 · (914) 265-4582 · Fax (631) 760-8306
Phone(757) 547-0434
Fax(575) 470-6257
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1396327219 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
Licenses✔ Licensed in VA · 2202010342✔ Licensed in VA · 2204000647
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.
680 KINGSBOROUGH SQ STE B, Chesapeake, VA 23320
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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

Kimberly Lavacca Ms, 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 ID9931631207
PECOS Enrollment IDI20241011003312

Medicare Billing Reassignment

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

Ivyrehab Sept, LLC
6.5 mi
Physical Therapist
5301 PROVIDENCE RD, SUITE 80
Virginia Beach, VA 23464
  • Reassigned Medicare billing, Virginia enrollment
  • 292 clinicians in this Medicare group
NPI 1982657433 (757) 467-4604

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

Other Providers at the Same Location NPPES 20

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

CAROLINE DIXON
Speech-Language Pathologist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
CORTNEY L MEYERS M.S. SLP
Speech-Language Pathologist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
HANNAH MILLIKEN
Speech-Language Pathologist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
RACHEL ASH M.S., CCC-SLP
Speech-Language Pathologist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
KORI ALISON JOHNSON OTD, OTR/L
Occupational Therapist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
TERI BELL SCOTT MSPT
Physical Therapist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
BENJAMIN STUCKEY PT, DPT, COTA, CSCS
Physical Therapist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434
KYLE TROY COLEY
Occupational Therapist
680 KINGSBOROUGH SQ STE B
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0434

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 Lavacca's NPI number?

The NPI number for Kimberly Lavacca is 1396327219. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Kimberly Lavacca located?

Kimberly Lavacca practices at 680 Kingsborough Sq Ste B, Chesapeake, VA 23320. The listed phone number is (757) 547-0434.

What is Kimberly Lavacca's specialty?

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

Is Kimberly Lavacca enrolled in Medicare?

Yes. Kimberly Lavacca 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 organization bills Medicare for Kimberly Lavacca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Lavacca reassigns Medicare benefits to Ivyrehab Sept, LLC (Virginia Beach, VA). 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 Kimberly Lavacca'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 Kimberly Lavacca was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.