Individual provider Active NPI

Nicole Lyn Klym, MS CCC-SLP

  • Speech-Language Pathologist
  • Amsterdam, NY
National Provider Identifier
1306179668
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8339 Issued in SC
Practice address
11 Village LN W
Amsterdam, NY 12010-2953
Phone
(518) 770-1576
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1423 WY
Speech-Language Pathologist 235Z00000X 30002740 NC
Speech-Language Pathologist 235Z00000X 8339 SC Primary
Speech-Language Pathologist 235Z00000X 013433 NY

Addresses

Primary practice location

11 Village LN W
Amsterdam, NY 12010-2953

Mailing address

11 Village LN W
Amsterdam, NY 12010-2953
Phone (518) 770-1576

Other names 1

  • Nicole Rupar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260310001282 SC Practitioner - Qualified Speech Language Pathologist 9931682853 Reassigns benefits to 1 organization
I20260310002938 NC Practitioner - Qualified Speech Language Pathologist 9931682853 Reassigns benefits to 1 organization
I20260310003099 NY Practitioner - Qualified Speech Language Pathologist 9931682853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians

Practice addresses (Care Compare)

4000 Faber Place Dr
Suite 300
Charleston, SC 29405-8587
Phone (512) 399-0064

99 Hudson St
FL 5
New York, NY 10013-2993
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8339SCMDCardiovascular Disease Physician
30002740NCMDSpeech-Language Pathologist
SP-1423WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 13, 2026 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 10, 2026 Accepting new patients

Locations

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1306179668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VILLAGE LN W",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120102953",
            "telephone_number": "518-770-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VILLAGE LN W",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120102953",
            "telephone_number": "518-770-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYM",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1423",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002740",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8339",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RUPAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.