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Kimberly Renee Clark , SLP

Speech-Language Pathologist β€’ Cary, NC

Active NPI 1255227013 Individual Practitioner Female Practitioner
Practice location in NPPES

5625 Dillard Dr
Cary, NC 275189226

Call 9194317400 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

5625 Dillard Dr

Cary, NC 275189226

Telephone 9194317400
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Manassas, VA. 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

2025

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 Cary and North Carolina

276 active clinicians are listed under Speech-Language Pathologist with a practice address in Cary, NC (7,177 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cary

0.7% of these 276 clinicians have the CMS telehealth indicator.

3.3% of these 276 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: 2026-07-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES VA 2204001621

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: North Carolina Medical Board.
Look Up on State Board Site

Secondary Practice Locations

14715 Bristow Rd

Manassas, VA 201123945

Phone: 7037917200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1518565282

Doctor of Physical Therapy

NPI 1700032133

Doctor of Audiology

Sean Nixon , PT

Physical Therapist

NPI 1023290079

Physical Therapist

NPI 1083065940

Doctor of Audiology

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location July 05, 2026

Registered at 5625 DILLARD DR, CARY, NC 275189226 (Tel: 9194317400)

βœ…
NPI Profile Active June 17, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2025

Registered at 14715 BRISTOW RD, MANASSAS, VA 201123945 (Tel: 7037917200)

πŸ“
Business Mailing Address (Initial Record) June 17, 2025

Registered at 4106 ASHMERE CIR, DUMFRIES, VA 220251516 (Tel: 5714356639)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2025

Recorded as KIMBERLY CLARK, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2025

Speech-Language Pathologist (license number reported to NPPES: VA 2204001621)

🟒
Initial NPI Registration & Enumeration June 17, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255227013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2025
Last Update: July 05, 2026
Sole Proprietor: No

Other Speech-Language Pathologists in Cary

Healthcare providers in Cary

Mailing Address

4106 Ashmere Cir

Dumfries, VA 220251516

Phone: 5714356639

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.