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IVANISSE CORALY ASENCIO-ACEVEDO M.S. CCC-SLP
NPI 1669287579
Speech-Language Pathologist in Tacoma, WA

Active since February 08, 2025
1502 S ORCHARD ST APT F304, TACOMA, WA 98465(334) 470-6604 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Feb 8, 2025 (2 updates tracked since 2025).

About Ivanisse Coraly Asencio-acevedo M.s. Ccc-slp NPPES

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

IVANISSE CORALY ASENCIO-ACEVEDO M.S. CCC-SLP (NPI 1669287579) is an individual speech-language pathologist provider in Tacoma, Washington, licensed in Washington (LL60846550) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1669287579
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameIVANISSE CORALY ASENCIO-ACEVEDOCredential: M.S. CCC-SLP
Location Address1502 S ORCHARD ST APT F304Tacoma, WA 98465-2445
Mailing Address1502 S Orchard St Apt F304Tacoma, WA 98465-2445 · (334) 470-6604
Phone(334) 470-6604
Sole ProprietorYes
Enumeration DateFebruary 8, 2025
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1669287579 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 WA · LL60846550
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.
1502 S ORCHARD ST APT F304, Tacoma, WA 98465
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivanisse Coraly Asencio-acevedo M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ivanisse Asencio-acevedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hona Medical Group PA
2,729 mi
Speech-Language Pathologist
6303 BLUE LAGOON DR STE 400
Miami, FL 33126
  • Reassigned Medicare billing, Washington enrollment
  • 12 clinicians in this Medicare group
NPI 1487490553 (858) 252-4572

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 Ivanisse Asencio-acevedo's NPI number?

The NPI number for Ivanisse Asencio-acevedo is 1669287579. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Where is Ivanisse Asencio-acevedo located?

Ivanisse Asencio-acevedo practices at 1502 S Orchard St Apt F304, Tacoma, WA 98465. The listed phone number is (334) 470-6604.

What is Ivanisse Asencio-acevedo's specialty?

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

Is Ivanisse Asencio-acevedo enrolled in Medicare?

Yes. Ivanisse Asencio-acevedo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivanisse Asencio-acevedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivanisse Asencio-acevedo reassigns Medicare benefits to Hona Medical Group PA (Miami, FL). 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 Ivanisse Asencio-acevedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivanisse Asencio-acevedo accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Ivanisse Asencio-acevedo 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 Ivanisse Asencio-acevedo was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.