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Kelley Marie Jimenez

Speech-Language Pathologist β€’ Fredericksburg, VA

Active NPI 1710439989 Individual Practitioner Female Practitioner
Practice location in NPPES

11 Dairy Ln
Fredericksburg, VA 224052663

Call 5403719414 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

11 Dairy Ln

Fredericksburg, VA 224052663

Telephone 5403719414
Organization at the Same NPPES Address or Phone
Genesis Eldercare Physician Services Llc Facility NPI 1699710202

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

NPI first issued

2016

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

Enrolled in Medicare (PECOS)

Kelley Jimenez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Fredericksburg and Virginia

127 active clinicians are listed under Speech-Language Pathologist with a practice address in Fredericksburg, VA (4,943 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fredericksburg

0.8% of these 127 clinicians have the CMS telehealth indicator.

2.4% of these 127 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: 2024-02-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES VA 2202010841

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: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20241021003573

Enrollment State Jurisdiction

DC

PECOS Control ID

7315479904

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

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

1 listed
Laurene Troxler

Nurse Practitioner - Gerontology

NPI 1942351044

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location February 27, 2024

Registered at 11 DAIRY LN, FREDERICKSBURG, VA 224052663 (Tel: 5403719414)

πŸ“
Updated Business Mailing Address February 27, 2024

Registered at 11 DAIRY LN, FREDERICKSBURG, VA 224052663

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Speech-Language Pathologist (license number reported to NPPES: VA 2202010841)

βœ…
NPI Profile Active November 03, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 03, 2016

Registered at 1008 HIGHWAY 25B, HEBER SPRINGS, AR 725432034 (Tel: 5012505166)

πŸ“
Business Mailing Address (Initial Record) November 03, 2016

Registered at 25 PLEASANT ST, CABOT, AR 720233105 (Tel: 9568328004)

πŸ‘€
Provider Name / Credentials (Initial Record) November 03, 2016

Recorded as KELLEY JIMENEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2016

Specialist/Technologist (license number reported to NPPES: AR R#17-003)

🟒
Initial NPI Registration & Enumeration November 03, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710439989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2016
Last Update: February 27, 2024
Sole Proprietor: No

Other Speech-Language Pathologists in Fredericksburg

Healthcare providers in Fredericksburg

Mailing Address

11 Dairy Ln

Fredericksburg, VA 224052663

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.