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MRS. NICOLE LYNN KAVANAGH CCC-SLP
NPI 1922328780
Speech-Language Pathologist in Gilbert, AZ

Active since June 03, 2010
5783 S FAWN AVE, GILBERT, AZ 85298(480) 518-7073 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Nicole Lynn Kavanagh Ccc-slp NPPES

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

MRS. NICOLE LYNN KAVANAGH CCC-SLP (NPI 1922328780) is an individual speech-language pathologist provider in Gilbert, Arizona, licensed in Arizona (SLP6798) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1922328780
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. NICOLE LYNN KAVANAGHCredential: CCC-SLP
Location Address5783 S FAWN AVEGilbert, AZ 85298-0848
Mailing Address5783 S Fawn AveGilbert, AZ 85298-0848 · (480) 518-7073
Phone(480) 518-7073
Sole ProprietorYes
Enumeration DateJune 3, 2010
Last NPPES UpdateAugust 7, 2019
✔ NPI 1922328780 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 AZ · SLP6798✔ Licensed in NY · 018711
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.
5783 S FAWN AVE, Gilbert, AZ 85298
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Lynn Kavanagh Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Nk Speech Therapy And Behavior Support PLLC
18 mi
Hearing and Speech
7776 S POINTE PKWY W STE 250
Phoenix, AZ 85044
  • Reassigned Medicare billing, Arizona enrollment
NPI 1104561471 (480) 518-7073

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 Nicole Kavanagh's NPI number?

The NPI number for Nicole Kavanagh is 1922328780. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Nicole Kavanagh located?

Nicole Kavanagh practices at 5783 S Fawn Ave, Gilbert, AZ 85298. The listed phone number is (480) 518-7073.

What is Nicole Kavanagh's specialty?

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

Is Nicole Kavanagh enrolled in Medicare?

Yes. Nicole Kavanagh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Kavanagh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kavanagh reassigns Medicare benefits to Nk Speech Therapy And Behavior Support PLLC (Phoenix, AZ). 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 Nicole Kavanagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Kavanagh accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Nicole Kavanagh 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 Nicole Kavanagh was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.