Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly Suzanne Nieves, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114236296

Mrs. Kimberly Suzanne Nieves, MSCCC-SLP is a Qualified Speech Language Pathologist in Dallas, Texas. Qualified in 2007, 19 years ago. Practices with Expressable Therapy PC, a 63-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2010
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Practice location Address checks out

2217 Ivan St 1021
Dallas, TX 75201-1074
Phone: (817) 458-2908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA22408 (FL)

Record details

NPI number1114236296
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 6, 2010
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Expressable Therapy Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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