JENNIFER NICHOLS (NPI# 1639505993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639505993 |
| Entity Type | Individual |
| Full Name | JENNIFER NICHOLS |
| Credential | CCC-SLP |
| Practice Address |
1000 Saint Louis Ave Ste 102 Fort Worth TX 76104-3377 |
| Practice Telephone | (817) 921-5020 |
| Practice Fax Number | 8179215022 |
| Mailing Telephone | (817) 921-5020 |
| Mailing Fax Number | 8179215022 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 111513 | TX | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 1234 | ND | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235319 | Jennifer Nichols | Speech-Language Pathologist | 8445 Spires Way Ste Cc, Frederick, MD 21701-5035 | 2018-12-05 |
| 1710346549 | Jennifer Nichols | Massage Therapist | 15410 Heintz Ave Se, Monroe, WA 98272-1629 | 2016-02-22 |
| 1699198820 | Jennifer Lindsy Nichols I | Massage Therapist | 2695 Patterson Rd, Grand Junction, CO 81506-8814 | 2014-01-23 |
| 1972924702 | Jennifer Nichols | Student in an Organized Health Care Education/Training Program | 669 W 34th St, Los Angeles, CA 90089-0067 | 2013-12-20 |
| 1790028801 | Jennifer Lauren Nichols | Psychiatry & Neurology | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1222 | 2013-03-27 |
| 1003960451 | Jennifer A. Nichols | Dentist | 756 N College St, Harrodsburg, KY 40330-1019 | 2007-01-23 |
| 1871131482 | Jennifer A Nichols | Counselor | 200 Mason St Ste 11, Onalaska, WI 54650-7061 | 2019-12-13 |
| 1447757976 | Jennifer Nichols | Social Worker | 2000 East Lamar Blvd, Suite 500, Arlington, TX 76006 | 2018-04-11 |
| 1083118939 | Jennifer Marie Nichols | Student in an Organized Health Care Education/Training Program | 110 S Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 | 2018-03-23 |
| 1740726017 | Jennifer Nichols | Nurse Practitioner | 600 Haverford Rd, Haverford, PA 19041-1139 | 2017-01-11 |
| Street Address |
1000 SAINT LOUIS AVE STE 102 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500156 | Meredith Cox | Occupational Therapy Assistant | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2019-10-27 |
| 1346809167 | Alexander Collignon | Physical Therapist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2019-06-06 |
| 1205493822 | Julie Lyn Bryant | Speech-Language Pathologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2019-05-20 |
| 1114483211 | Hannah Taylor Herring | Occupational Therapist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2019-02-13 |
| 1932664711 | Teffanie Lila Banat | Physical Therapist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2019-02-05 |
| 1306321534 | Angelica Noemi Sanchez | Specialist/Technologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2018-10-03 |
| 1578043964 | Rebecca Ramon | Physical Therapist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2018-08-15 |
| 1083191068 | Monica Gomez | Specialist/Technologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104 | 2018-07-23 |
| 1184118523 | Holly Crowell | Speech-Language Pathologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2018-06-19 |
| 1114426145 | Ernesto Delgado | Specialist/Technologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1174134696 | Meagan Reyneveld | Speech-Language Pathologist | 405 Crawford St Apt 2330, Fort Worth, TX 76104-1395 | 2020-08-10 |
| 1639794902 | Sarah Mayorga | Speech-Language Pathologist | 3645 Gray St Apt 1209, Fort Worth, TX 76177-1721 | 2020-06-12 |
| 1417579558 | Fort Worth Children's Speech and Feeding Therapy, Pllc | Speech-Language Pathologist | 3631 S Hills Ave, Fort Worth, TX 76109-2754 | 2020-05-12 |
| 1518588201 | Korynn Apodaca | Speech-Language Pathologist | 704 Dale Ln Apt 124, Fort Worth, TX 76108-2659 | 2020-05-04 |
| 1487288544 | Robert J Wincowski | Speech-Language Pathologist | 6913 Camp Bowie Blvd Ste 121, Fort Worth, TX 76116-7164 | 2020-02-27 |
| 1154952687 | Shelby Reed | Speech-Language Pathologist | 411 Harrold St Apt 1273, Fort Worth, TX 76107-3141 | 2020-02-03 |
| 1114562857 | Hilary Byatt | Speech-Language Pathologist | 10357 Alta Vista Rd Unit 351, Fort Worth, TX 76244-6559 | 2019-11-15 |
| 1104468156 | Marianne Brawner | Speech-Language Pathologist | 4216 Sarita Dr, Fort Worth, TX 76109-4746 | 2019-10-10 |
| 1801444005 | Kristin Kirkley | Speech-Language Pathologist | 1604 Dakar Rd W, Fort Worth, TX 76116-1818 | 2019-08-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.