Kimberly Nelon, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027470 Issued in NY

Practice address

362 Doubleday LN Apt 3D
Brooklyn, NY 11209-8517

Phone

(386) 333-4793

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimber Nelon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1942043112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 DOUBLEDAY LN APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098517",
            "telephone_number": "386-333-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 DOUBLEDAY LN APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098517",
            "telephone_number": "386-333-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELON",
        "first_name": "KIMBERLY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-864",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "NELON",
            "credential": "MS, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Inna Nelipovich, M.D.
• Irina Nelipovich, M.D.
• Alexander Zev Nelken, M.D.
• Sergey Shimshon Nellin, MSED
• Tyler Nellissen
• Donna Nelson Chambers
• Eula Nelson Davis, FNP-BC
• Nelson Lacy Group LCSW PLLC
• Nelson Menezes Vascular Specialist PC
• Sophia Nelson-Boatswain

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.