KIMBERLY PEAK MA CCC-SLP
NPI 1790496479
Speech-Language Pathologist in Ocoee, TN

Q: What is Kimberly Peak's NPI number?

The NPI number for Kimberly Peak is 1790496479. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Q: What is Kimberly Peak'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 Kimberly Peak was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 13, 2022Accepts Medicare Assignment

103 PEAK LN, OCOEE, TN 37361(423) 310-3074 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Peak Ma Ccc-slp NPPES

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

KIMBERLY PEAK MA CCC-SLP (NPI 1790496479) is an individual speech-language pathologist provider in Ocoee, Tennessee, licensed in Tennessee (1863) and active in the NPI registry since December 2022. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1790496479

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKIMBERLY PEAKCredential: MA CCC-SLP

Location Address103 PEAK LNOcoee, TN 37361-3614

Mailing Address103 Peak LnOcoee, TN 37361-3614

Phone(423) 310-3074

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateDecember 13, 2022

NPPES CertifiedDecember 13, 2022

✔ NPI 1790496479 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 TN · 1863

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.

103 PEAK LN, Ocoee, TN 37361

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 Peak Ma 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 ID3274904479

PECOS Enrollment IDI20230201001705

Medicare Billing Reassignment

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

Legacy Healthcare Services Inc

65 mi

Physical Therapist

8458 GLEASON DR
Knoxville, TN 37919

Reassigned Medicare billing, Tennessee enrollment
85 clinicians in this Medicare group

NPI 1306454558 (316) 260-6161

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

282 services30 patients

Evaluation of speech sound production with evaluation of language comprehension and expression 92523

This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.

28 services27 patients

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 Peak's NPI number?

The NPI number for Kimberly Peak is 1790496479. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Kimberly Peak located?

Kimberly Peak practices at 103 Peak Ln, Ocoee, TN 37361. The listed phone number is (423) 310-3074.

What is Kimberly Peak's specialty?

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

Is Kimberly Peak enrolled in Medicare?

Yes. Kimberly Peak 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 Peak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Peak reassigns Medicare benefits to Legacy Healthcare Services Inc (Knoxville, TN). 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 Peak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Peak accept?

Health plans from BlueCross BlueShield of Tennessee list Kimberly Peak 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 Kimberly Peak was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.