Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942512652 Individual Practitioner Female Practitioner

Kimberly Tice , MS, CCC-SLP

Speech-Language Pathologist • Weston, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Tice, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Weston, FL. Practice services are available at 2685 EXECUTIVE PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2685 Executive Park Dr
Suite 5

Weston, FL 333313651

Telephone 9543729710
Associated Practice Facility / Clinic
🏢 Weston Dialysis Center Llc Facility NPI 1699743930

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Weston, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
88 Specialists

Practicing in Weston, FL (11640 Statewide)

Telehealth Adoption Rate
1.1% 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 SA10982

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NY 020090-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003659000 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Patricia Labella , CCC-SLP

Speech-Language Pathologist

NPI 1275719700

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2012

Registered at 2685 EXECUTIVE PARK DR, SUITE 5, WESTON, FL 333313651 (Tel: 9543729710)

📍
Updated Business Mailing Address December 11, 2012

Registered at 2350 NW 33RD ST, APT 802, OAKLAND PARK, FL 333096460 (Tel: 5162790234)

👤
Provider Name / Credentials Updated December 11, 2012

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Speech-Language Pathologist (License #SA10982 in FL)

🟢
Initial NPI Registration & Enumeration July 10, 2010

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: 1942512652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2010
Last Update: December 11, 2012
Sole Proprietor: No

Mailing Address

2350 Nw 33rd St, Apt 802

Oakland Park, FL 333096460

Phone: 5162790234

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.