NICOLE ELLINGSWORTH (NPI# 1750780565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750780565 |
| Entity Type | Individual |
| Full Name | NICOLE ELLINGSWORTH |
| Credential | MS, CCC-SLP |
| Practice Address |
15 S Sixth St Bay Springs MS 39422-9052 |
| Mailing Address |
1912 Mamie St Hattiesburg MS 39401-7434 |
| Practice Telephone | 6017642101 |
| Mailing Telephone | 8122415622 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S3891 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
15 S SIXTH ST |
| City | BAY SPRINGS |
| State | MS |
| Zip Code | 39422-9052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952873994 | Family Health Care Clinic, Inc | Clinic/Center | 298 Hwy 18 West, Bay Springs, MS 39422 | 2018-12-31 |
| 1578019808 | Rebecca Little | Nurse Practitioner | 27 S. 6th Street, Bay Springs, MS 39422 | 2016-08-28 |
| 1689930372 | Region Ten Commission On Mental Health | Clinic/Center | 9 North Second Street, Bay Springs, MS 39422 | 2012-04-06 |
| 1760790778 | Bay Springs Eye Care LLC | Optometrist | 16 South 6th Street, Bay Springs, MS 39422 | 2010-09-24 |
| 1174787915 | Tracy Lee Williams | Dentist | 12 South 6th Street, Bay Springs, MS 39422 | 2008-07-10 |
| 1316137052 | Bethany Ann South | Optometrist | 16 South 16th St, Bay Springs, MS 39422 | 2007-07-30 |
| 1972717858 | Dr. Benjamin J. Hodges and Associates, P.a. | Dentist | 2683 Hwy. 15, 2683 Hwy. 15, Bay Springs, MS 39422 | 2007-05-09 |
| 1003983420 | Paul Alan Little | Chiropractor | 13 East 8th Avenue, Bay Springs, MS 39422 | 2006-11-29 |
| 1194825513 | Mary E Clawson | Internal Medicine | Family Medical Clinic, 20 South 6th Street, Bay Springs, MS 39422 | 2006-09-25 |
| 1023118817 | Jasper General Hospital | Durable Medical Equipment & Medical Supplies | 15 A South 6th Street, Bay Springs, MS 39422 | 2006-09-22 |
| Find all providers in zip 39422 | ||||
| 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 |
|---|---|---|---|---|
| 1295271369 | Lauren Gandy | Speech-Language Pathologist | 15 A South 6th Street, Bay Springs, MS 39422 | 2017-01-13 |
| 1023380623 | Courtney Covin | Speech-Language Pathologist | 15a South 6th Street, Bay Springs, MS 39422 | 2012-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766928 | Delaynee Marchant | Speech-Language Pathologist | 2105 Country Club Rd, Grenada, MS 38901-4834 | 2020-10-08 |
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1578176202 | Kaylan Williams | Speech-Language Pathologist | 643 Westbrook Rd, Courtland, MS 38620-9458 | 2020-08-24 |
| 1942813647 | Allie Reid | Speech-Language Pathologist | 160 E Franklin St, Natchez, MS 39120-3610 | 2020-08-24 |
| 1780296525 | Moore Speech Therapy, LLC | Speech-Language Pathologist | 3688 Flat Rock Dr, Hernando, MS 38632-4445 | 2020-08-22 |
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1629686126 | Ann Turner Troutt | Speech-Language Pathologist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-07-21 |
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1831717446 | Misty Michelle Moore | Speech-Language Pathologist | 6444 Highway 43 S, Kosciusko, MS 39090-9459 | 2020-07-09 |
| 1467070334 | Language Lounge LLC | Speech-Language Pathologist | 2053 Barto Leggett Rd, Mccomb, MS 39648-9327 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | BAY SPRINGS |
| Zip Code | 39422 |
Please comment or provide details below to improve the information on NICOLE ELLINGSWORTH.
| 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.