Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104032523 Individual Practitioner Female Practitioner

Kimmy Shin Eller , MS, CCC-SLP

Speech-Language Pathologist • Norfolk, VA

Professional Overview & Biography Verified Profile Summary

Kimmy Eller, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Norfolk, VA. Practice services are available at 601 CHILDRENS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 Childrens Ln

Norfolk, VA 235071910

Telephone 7576686589
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Norfolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
108 Specialists

Practicing in Norfolk, VA (4974 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 VA 2202004900

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

Commercial Insurance / Payer ID Asha Certified Member
12051459 (VA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Belinda James-Petersen , CPNP

Nurse Practitioner - Pediatrics

NPI 1003066119

Certified Pediatric Nurse Practitioner

Kelly Trejo , LCSW

Social Worker - Clinical

NPI 1003122193

Licensed Clinical Social Worker

Dr. Aliyah Mohammed , MD

Student in an Organized Health Care Education/Training Program

NPI 1003676909

Doctor of Medicine (M.D.)

Dr. Swetha Mora , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1003755711

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Kacie Carter , CPNP

Nurse Practitioner - Pediatrics

NPI 1003791377

Certified Pediatric Nurse Practitioner

Dr. Peter Dozier , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003812835

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 601 CHILDRENS LN, NORFOLK, VA 235071910 (Tel: 7576686589)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 LORD DUNMORE DR, VIRGINIA BEACH, VA 234645446

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIMMY ELLER, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2202004900 in VA)

🟢
Initial NPI Registration & Enumeration May 15, 2007

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: 1104032523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1100 Lord Dunmore Dr

Virginia Beach, VA 234645446

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.