NICOLE Z RUSSO (NPI# 1710921234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710921234 |
| Entity Type | Individual |
| Full Name | NICOLE Z RUSSO |
| Credential | CCC-SLP |
| Practice Address |
577 Blue Cypress Dr Groveland FL 34736-8111 |
| Practice Telephone | 8436552665 |
| Mailing Telephone | 8436552665 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA10268 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SA0624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411630 | Nicole Russo | Social Worker | 398 W Bagley Rd Ste 13, Berea, OH 44017-1312 | 2020-09-10 |
| 1093152720 | Nicole Elizabeth Russo | Dentist | 231 W Esplanade Ave Ste A, Kenner, LA 70065-2459 | 2013-06-04 |
| 1356572747 | Nicole Russo | Massage Therapist | 38 Montvale Ave Ste 330, Stoneham, MA 02180-2450 | 2009-08-03 |
| 1326528522 | Nicole Lorraine Russo | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-08-16 |
| 1235647314 | Nicole Russo | Counselor | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 | 2018-01-11 |
| 1699295469 | Nicole Ann Russo | Occupational Therapist | 6575 Kirkville Rd, East Syracuse, NY 13057-9809 | 2017-06-22 |
| 1962810317 | Nicole Brooke Russo | Pharmacist | 2754 Hylan Blvd, Staten Island, NY 10306-4658 | 2014-07-30 |
| 1013337864 | Nicole Russo | Physical Therapist | 2123 Highway 35, Sea Girt, NJ 08750-1003 | 2014-04-21 |
| 1992133490 | Nicole Russo | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2013-10-18 |
| 1841557394 | Nicole Russo | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2012-04-20 |
| Street Address |
577 BLUE CYPRESS DR |
| City | GROVELAND |
| State | FL |
| Zip Code | 34736-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893067 | Jeremy Watkins | Behavior Technician | 12325 Dry Fork Road, Groveland, FL 34736 | 2018-06-04 |
| 1447703863 | Thrive Psychological Services | Psychologist | 446 Sauvignon Way, Groveland, FL 34736 | 2016-08-02 |
| 1619339561 | Michael Medlin | Social Worker | 6629 Lake Erie Rd, Groveland, FL 34736 | 2016-03-21 |
| 1508226036 | Audreka Felix | Case Management | 128 Catherine Ln, Groveland, FL 34736 | 2016-02-25 |
| 1215257506 | Xavier Sigler | Pharmacist | 7777 Highway 50, Groveland, FL 34736 | 2010-06-09 |
| 1740509975 | Peter Aragones | Pharmacist | 7777 Hwy 50, Groveland, FL 34736 | 2010-05-27 |
| 1780849414 | Jennifer Kaminski | Speech-Language Pathologist | 1216 Demoiselle St, Groveland, FL 34736 | 2008-07-22 |
| 1669406617 | Christopher Saputa | General Practice | 1296 W Broad Street, Groveland, FL 34736 | 2006-07-10 |
| 1326129032 | Darren E Marsh | Pharmacist | South Lake Family Health Center, 1296 W Broad Street, Groveland, FL 34736-2012 | 2006-10-18 |
| 1407854847 | Catalin Teodoru | Dentist | 1296 W Broad St, Groveland, FL 34736-2012 | 2005-07-11 |
| Find all providers in zip 34736 | ||||
| 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 |
|---|---|---|---|---|
| 1881073336 | Michele White | Speech-Language Pathologist | 4 Berrywood Cir, Groveland, MA 01834-1060 | 2015-05-29 |
| 1700131380 | Terri Lynn Donovan | Speech-Language Pathologist | 28 Coleman Rd, Groveland, MA 01834-1021 | 2012-07-19 |
| 1386882306 | Douglas William Geiger | Speech-Language Pathologist | 714 Salem St, Groveland, MA 01834-1037 | 2009-01-29 |
| 1780849414 | Jennifer Kaminski | Speech-Language Pathologist | 1216 Demoiselle St, Groveland, FL 34736 | 2008-07-22 |
| 1821281056 | Elizabeth Sarah Lobaina | Speech-Language Pathologist | 100 Crescent Moon Dr, Groveland, FL 34736-3606 | 2007-08-21 |
| 1790994457 | Danielle Marie Tache Oliva | Speech-Language Pathologist | 253 School St, Groveland, MA 01834-2021 | 2007-05-21 |
| 1588793640 | Susan Louise Lamar | Speech-Language Pathologist | 4767 Turner Rd, Groveland, NY 14462-9516 | 2007-03-05 |
| 1548502933 | Deborah Ulbright | Speech-Language Pathologist | 6596 Groveland Hill Rd, Groveland, NY 14462-9515 | 2013-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578135 | Jennifer Savary Duggar | Speech-Language Pathologist | 744 Lonnie Raker Ln, Crawfordville, FL 32327-0125 | 2020-11-02 |
| 1952900458 | Emily Morgan Thomas | Speech-Language Pathologist | 4141 Ashton Club Dr, Lake Wales, FL 33859-5703 | 2020-10-26 |
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1417556952 | Global Speech Pathology, LLC | Speech-Language Pathologist | 3882 Sand Dune Ct, Destin, FL 32541-3210 | 2020-10-24 |
| 1609475094 | Erika Michele Moorman | Speech-Language Pathologist | 1031 Seminole Dr, Fort Lauderdale, FL 33304-3243 | 2020-10-18 |
| 1396343984 | Roxana Gonzalez Corp | Speech-Language Pathologist | 13965 Sw 160th Ter, Miami, FL 33177-1907 | 2020-10-15 |
| 1518564202 | Christie L Williams | Speech-Language Pathologist | 4715 Nw 28th Ter, Gainesville, FL 32605-1105 | 2020-10-06 |
| 1598362204 | Speech of Miami Inc | Speech-Language Pathologist | 671 Biltmore Way Apt 503, Coral Gables, FL 33134-7502 | 2020-10-06 |
| 1043817836 | Cassandra Grace Cuyler | Speech-Language Pathologist | 5458 Town Center Rd Ste 1, Boca Raton, FL 33486-1026 | 2020-10-05 |
| 1386241354 | Justina J Falcone | Speech-Language Pathologist | 3223 Sw 15th Pl, Cape Coral, FL 33914-1505 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.