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MISS KIMBERLY NICOLE PENDERGRASS M.A. CCC-SLP
NPI 1821358847
Speech-Language Pathologist in Columbia, SC

Active since May 23, 2012
112 WESTSHIRE PL, COLUMBIA, SC 29210(803) 229-5162 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Kimberly Nicole Pendergrass M.a. Ccc-slp NPPES

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

MISS KIMBERLY NICOLE PENDERGRASS M.A. CCC-SLP (NPI 1821358847) is an individual speech-language pathologist provider in Columbia, South Carolina, licensed in South Carolina (5316) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1821358847
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS KIMBERLY NICOLE PENDERGRASSCredential: M.A. CCC-SLP
Location Address112 WESTSHIRE PLColumbia, SC 29210-4663
Mailing Address112 Westshire PlColumbia, SC 29210-4663 · (803) 229-5162
Phone(803) 229-5162
Sole ProprietorYes
Enumeration DateMay 23, 2012
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1821358847 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 SC · 5316
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.
112 WESTSHIRE PL, Columbia, SC 29210
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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 Pendergrass's NPI number?

The NPI number for Kimberly Pendergrass is 1821358847. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Kimberly Pendergrass located?

Kimberly Pendergrass practices at 112 Westshire Pl, Columbia, SC 29210. The listed phone number is (803) 229-5162.

What is Kimberly Pendergrass's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Pendergrass was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.