Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly Huggins Hamilton , MS CCC-SLP

Speech-Language Pathologist β€’ Ponte Vedra Beach, FL

Active NPI 1417911520 Individual Practitioner Female Practitioner
Practice location in NPPES

114 Bay Hill Ct
Ponte Vedra Beach, FL 320823602

Call 9044393032 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

114 Bay Hill Ct

Ponte Vedra Beach, FL 320823602

Telephone 9044393032
Organization at the Same NPPES Address or Phone
The Madhatters Llc Facility NPI 1669051223

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Oviedo, FL; St Augustine, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ponte Vedra Beach and Florida

21 active clinicians are listed under Speech-Language Pathologist with a practice address in Ponte Vedra Beach, FL (11,663 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ponte Vedra Beach

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

151 Creekside Dr

St Augustine, FL 320865406

Phone: 2569969789

1000 W Broadway St Ste 214

Oviedo, FL 327659262

Phone: 4073595693

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location August 19, 2020

Registered at 114 BAY HILL CT, PONTE VEDRA BEACH, FL 320823602 (Tel: 9044393032)

🏒
Secondary Practice Location Registered August 19, 2020

Additional practice office at 151 Creekside Dr, St Augustine, FL 320865406

🏒
Secondary Practice Location Registered August 19, 2020

Additional practice office at 1000 W Broadway St Ste 214, Oviedo, FL 327659262

πŸ“
Updated Practice Location August 06, 2020

Registered at 1000 W BROADWAY ST STE 214, OVIEDO, FL 327659262 (Tel: 4073595693)

πŸ“
Updated Business Mailing Address August 06, 2020

Registered at 114 BAY HILL CT, PONTE VEDRA BEACH, FL 320823602 (Tel: 9044393032)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2020

Speech-Language Pathologist (license number reported to NPPES: FL SA)

πŸ‘€
Provider Name / Credentials Updated October 08, 2018

Recorded as KIMBERLY HAMILTON, MS CCC-SLP

βœ…
NPI Profile Active January 12, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2010

Registered at 112 68TH ST NW, FORT PAYNE, AL 359678300 (Tel: 2569979929)

πŸ“
Business Mailing Address (Initial Record) January 12, 2010

Registered at 112 68TH ST NW, FORT PAYNE, AL 359678300 (Tel: 2569979929)

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2010

Recorded as KIMBERLY CORNELIUS, MS CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2010

Speech-Language Pathologist (license number reported to NPPES: AL 1404)

🟒
Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1417911520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2006
Last Update: August 19, 2020
Sole Proprietor: Yes

Mailing Address

114 Bay Hill Ct

Ponte Vedra Beach, FL 320823602

Phone: 9044393032

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.