Kimberly Mattison
NPI 1740798339ActiveIndividual· Speech-Language Pathologist· Woodbridge, VA
Speech-Language Pathologist in Woodbridge, Virginia, licensed in NM and VA, with an NPI issued in January 2018. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1740798339 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 17, 2018 |
| Last updated in NPPES | Aug 8, 2024 |
| Certified by provider | Aug 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SAH-2024-0120 | NM |
| Speech-Language Pathologist | 235Z00000X | 220208371 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NM) |
|---|
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All 68 speech-language pathologists in Woodbridge · All speech-language pathologists in Virginia