SHAE NIMMO CCC-SLP
NPI 1487423588
Speech-Language Pathologist in Fenton, MI

Q: What is Shae Nimmo's NPI number?

The NPI number for Shae Nimmo is 1487423588. It was assigned to this individual provider in the NPPES registry on December 29, 2023.

Q: What is Shae Nimmo'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 Shae Nimmo was last updated on December 29, 2023. 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.

Active since December 29, 2023

206 N HOWARD ST, FENTON, MI 48430(810) 429-9545 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shae Nimmo Ccc-slp NPPES

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

SHAE NIMMO CCC-SLP (NPI 1487423588) is an individual speech-language pathologist provider in Fenton, Michigan, licensed in Michigan (7101004726) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1487423588

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHAE NIMMOCredential: CCC-SLP

Location Address206 N HOWARD STFenton, MI 48430-2195

Mailing Address206 N Howard StFenton, MI 48430-2195 · (810) 429-9545

Phone(810) 429-9545

Sole ProprietorNo

Enumeration DateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1487423588 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 MI · 7101004726

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.

206 N HOWARD ST, Fenton, MI 48430

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shae Nimmo Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Spark Speech Therapy LLC

Same address

Speech-Language Pathologist

206 N HOWARD ST
Fenton, MI 48430

Reassigned Medicare billing, Michigan enrollment

NPI 1801649256 (810) 429-9545

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

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

SPARK SPEECH THERAPY LLC

Speech-Language Pathologist

206 N HOWARD ST
FENTON, MI 48430

Genesee County (810) 429-9545

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 Shae Nimmo's NPI number?

The NPI number for Shae Nimmo is 1487423588. It was assigned to this individual provider in the NPPES registry on December 29, 2023.

Where is Shae Nimmo located?

Shae Nimmo practices at 206 N Howard St, Fenton, MI 48430. The listed phone number is (810) 429-9545.

What is Shae Nimmo's specialty?

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

Is Shae Nimmo enrolled in Medicare?

Yes. Shae Nimmo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shae Nimmo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shae Nimmo reassigns Medicare benefits to Spark Speech Therapy LLC (Fenton, MI). 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 Shae Nimmo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shae Nimmo accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shae Nimmo 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 Shae Nimmo was last updated on December 29, 2023. 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.