Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225433659 Individual Practitioner Female Practitioner

Kimberly Ivelisses Dejesus , MS CCC-SLP

Speech-Language Pathologist • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Dejesus, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Palm Coast, FL. Practice services are available at 393 PALM COAST PKWY SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

393 Palm Coast Pkwy Sw

Palm Coast, FL 32137

Telephone 3864469935
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
63 Specialists

Practicing in Palm Coast, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL 16249

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bridget Jones , OTD OTR, L

Occupational Therapist

NPI 1053041814

OTDOTR, L

NPI 1083955033

Physical Therapist, Doctor of Physical Therapy

Tresa Scotch , MS, CCC-SLP

Speech-Language Pathologist

NPI 1093957243

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Jade Newberry , SLPA

Speech-Language Pathologist

NPI 1104653583

Speech-Language Pathology Assistant

Shelly Williamson

Speech-Language Pathologist

NPI 1114496791
Desiree Trujillo

Speech-Language Pathologist

NPI 1124812813

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location June 04, 2018

Registered at 393 PALM COAST PKWY SW, PALM COAST, FL 32137 (Tel: 3864469935)

👤
Provider Name / Credentials Updated June 04, 2018

Recorded as KIMBERLY DEJESUS, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Speech-Language Pathologist (License #16249 in FL)

👤
Provider Name / Credentials Updated April 11, 2018

Recorded as KIMBERLY DEJESUS

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2017

Registered at 393 PALM COAST PKWY SW, PALM COAST, FL 321374773 (Tel: 3864469935)

📍
Updated Business Mailing Address June 19, 2017

Registered at 97 ROYAL OAK DR, PALM COAST, FL 321646925 (Tel: 3868640027)

👤
Provider Name / Credentials Updated June 19, 2017

Recorded as KIMBERLY RIVERA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Specialist/Technologist (License #SI2191 in FL)

NPI Profile Active October 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2014

Registered at 393 PALM COAST PKWY SW, PALM COAST, FL 321374773 (Tel: 3864469935)

📍
Updated Business Mailing Address October 28, 2014

Registered at 97 ROYAL OAK DR, PALM COAST, FL 321646925 (Tel: 3868640027)

👤
Provider Name / Credentials Updated October 28, 2014

Recorded as KIMBERLY RIVERA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2014

Specialist/Technologist (License #SI2191 in FL)

🟢
Initial NPI Registration & Enumeration October 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225433659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2014
Last Update: June 04, 2018
Sole Proprietor: No

Mailing Address

97 Royal Oak Dr

Palm Coast, FL 321646925

Phone: 3868640027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.