Kendell Nicole Gibbons, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114915 Issued in TX

Practice address

3000 Pegasus Park Dr Ste 1100
Dallas, TX 75247-6203

Phone

(469) 621-8500

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1487204772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13435 SPRING GROVE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405547",
            "telephone_number": "142-909-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PEGASUS PARK DR STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476203",
            "telephone_number": "469-621-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "KENDELL",
        "middle_name": "NICOLE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marchelle June Bean Giannini, M.D.
• Candace L Gibbin, MD
• Doug W. Gibbins, L.A.T.,A.T.C.
• Elizabeth Gibbons, PHD
• Jake Alan Gibbons, M.D
• Larry Wayne Gibbons, M.D.
• Lindsey Mei Gibbons, M.ED, BCBA, LBA
• Thomas J. Gibbons, DDS
• David Gibbs IV, MD
• Evelyn L Gibbs, LCSW

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.