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KIMBERLY MATTISON
NPI 1740798339
Speech-Language Pathologist in Woodbridge, VA

Active since January 17, 2018
2501 HUNTER PL STE 101, WOODBRIDGE, VA 22192(540) 720-2261 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2024, Jul 7, 2024, Jan 17, 2018 (3 updates tracked since 2018).

About Kimberly Mattison NPPES

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

KIMBERLY MATTISON (NPI 1740798339) is an individual speech-language pathologist provider in Woodbridge, Virginia, licensed in New Mexico (SAH-2024-0120) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1740798339
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY MATTISON
Location Address2501 HUNTER PL STE 101Woodbridge, VA 22192-3940
Mailing Address8301 Go West Rd NwAlbuquerque, NM 87120-3785
Phone(540) 720-2261
Sole ProprietorYes
Enumeration DateJanuary 17, 2018
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1740798339 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 NM · SAH-2024-0120✔ Licensed in VA · 220208371
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.
2501 HUNTER PL STE 101, Woodbridge, VA 22192
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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 (PECOS)

Kimberly Mattison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Unm Medical Group Inc
1,636 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

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 11

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

TIFFANY CARDENAS PT, DPT
Physical Therapist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331
MS. JENNIFER G BRAUN M.S. CCC-SLP
Speech-Language Pathologist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331
ANDREA MARCHESE
Speech-Language Pathologist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331
DENAE MCGRORTY OTR/L
Occupational Therapist (Pediatrics)
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331
NADIA LYNN ABANILLA
Occupational Therapist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331
STEPHANIE JANSEN OTR
Occupational Therapist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (540) 720-2261
GRACE JOHNSON
Speech-Language Pathologist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331
EMILY FISHKIND
Occupational Therapist
2501 HUNTER PL STE 101
WOODBRIDGE, VA 22192
Prince William County (571) 285-0331

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 Mattison's NPI number?

The NPI number for Kimberly Mattison is 1740798339. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Kimberly Mattison located?

Kimberly Mattison practices at 2501 Hunter Pl Ste 101, Woodbridge, VA 22192. The listed phone number is (540) 720-2261.

What is Kimberly Mattison's specialty?

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

Is Kimberly Mattison enrolled in Medicare?

Yes. Kimberly Mattison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Mattison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mattison reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). 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 Mattison'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 Mattison was last updated on August 8, 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.