MRS. NICOLE MARIE KING (NPI# 1447326236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447326236 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE KING |
| Credential | CCC-SLP |
| Practice Address |
3615 Braselton Hwy Ste 103 Dacula GA 30019-5907 |
| Practice Telephone | 6783779634 |
| Practice Fax Number | 6783779609 |
| Mailing Telephone | 6783779634 |
| Mailing Fax Number | 6783779609 |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2009-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP004282 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000905407C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189872 | Nicole Melissa King | Social Worker | 130 Arizona Ave Ne Unit 408, Atlanta, GA 30307-2257 | 2020-09-22 |
| 1144653312 | Nicole Marie King | Nurse Practitioner | 570 White Pond Dr Ste 100, Akron, OH 44320-4206 | 2013-08-12 |
| 1609190891 | Nicole Marie King | Acupuncturist | 915 E Commerce St, Bridgeton, NJ 08302-4401 | 2010-03-17 |
| 1558334003 | Nicole D King | Internal Medicine | 9500 S Dorchester Ave, Suite 100, Chicago, IL 60628-1700 | 2006-02-07 |
| 1386277614 | Nicole King | Social Worker | 8623 N Wayne Rd Ste 200, Westland, MI 48185-1137 | 2020-02-14 |
| 1477119816 | Nicole King | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2019-05-10 |
| 1386109940 | Nicole King | Behavior Technician | 9600 Nw 25th St Ste Ph, Doral, FL 33172-1416 | 2019-02-07 |
| 1629543426 | Nicole King | Physician Assistant | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2018-10-08 |
| 1700367687 | Nicole King | Behavior Technician | 645 Baltimore Annapolis Blvd Ste 216-217, Severna Park, MD 21146-3931 | 2018-08-28 |
| 1538681960 | Nicole Lynn King | Counselor | 31 6th St, Malone, NY 12953-1246 | 2017-07-07 |
| Street Address |
3615 BRASELTON HWY STE 103 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969933 | Morgan B Young | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2020-07-21 |
| 1710503586 | Cecila Rose Ciaccia | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2020-06-17 |
| 1609405075 | Emily Meaghan Jones | Occupational Therapist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2020-04-07 |
| 1942857024 | Rachel B. Rappaport | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2019-08-22 |
| 1083187066 | Adelyn Joy Simmons | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2019-01-02 |
| 1902388713 | Kelly Sanderson | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2018-08-29 |
| 1366968265 | Shelby Rebecca Myers | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2017-08-22 |
| 1104275635 | Stephanie Perez | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2016-06-06 |
| 1790163509 | Madyson A. Feit | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2015-05-13 |
| 1932587789 | Stephanie Gregg Chandler | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2015-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025953 | Foundations Pediatric Speech Therapy Services LLC | Speech-Language Pathologist | 2700 Braselton Hwy Ste 3, Dacula, GA 30019-3263 | 2019-04-03 |
| 1497257174 | Tracy Nix | Speech-Language Pathologist | 2089 Teron Trce Ste 102, Dacula, GA 30019-1609 | 2018-03-08 |
| 1609208453 | Multi-lingual Speech Group, LLC | Speech-Language Pathologist | 3335 Forest Trace Dr, Dacula, GA 30019-4544 | 2013-08-04 |
| 1013357649 | Traci D Reid | Speech-Language Pathologist | 360 Charlyne Way, Dacula, GA 30019-2381 | 2013-06-27 |
| 1669732137 | Tara Romanowski | Speech-Language Pathologist | 2089 Teron Trce Ste 120, Dacula, GA 30019-1609 | 2012-05-18 |
| 1194016592 | Christine Law | Speech-Language Pathologist | 375 Franklin Dr, Dacula, GA 30019-1402 | 2011-04-20 |
| 1548496920 | Christina Lawson Ryan | Speech-Language Pathologist | 3826 Coralberry Way, Dacula, GA 30019-7246 | 2009-05-30 |
| 1295971612 | Stacey Ann Busboom | Speech-Language Pathologist | 2870 Angel Oak Cir, Dacula, GA 30019-1869 | 2009-01-07 |
| 1396737946 | Kelly Jones Ball | Speech-Language Pathologist | 3615 Braselton Hwy, Suite 103, Dacula, GA 30019-5907 | 2005-08-19 |
| 1073126876 | Deandra Shareese Rucker | Speech-Language Pathologist | 2089 Teron Trce Ste 120, Dacula, GA 30019-1609 | 2020-08-31 |
| Find all providers in DACULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.