MS. NICOLE L NICOLAS (NPI# 1811556343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811556343 |
| Entity Type | Individual |
| Full Name | MS. NICOLE L NICOLAS |
| Credential | MS, CCC-SLP |
| Practice Address |
2019 Wealthy St Se Apt 2 Grand Rapids MI 49506-3011 |
| Practice Telephone | 6168282865 |
| Mailing Telephone | 6168282865 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | MI | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2019 Wealthy St Se Apt 2, Grand Rapids, MI 495063011 | 6168282865 |
| Street Address |
2019 WEALTHY ST SE APT 2 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1912517244 | Kailey Nicole Jo | Speech-Language Pathologist | 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546-2379 | 2020-08-02 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1033740543 | Lauramarie Andres Schubert | Speech-Language Pathologist | 35 Michign St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-02-03 |
| 1245873884 | Jonathan Tyler Ritchie | Speech-Language Pathologist | 1912 Concord Ave Se, Grand Rapids, MI 49506-4653 | 2019-10-27 |
| 1386295392 | Emily Ruth Otten | Speech-Language Pathologist | 1425 Bemis St Se, Grand Rapids, MI 49506-2752 | 2019-09-23 |
| 1336797786 | Sydney E Carlson | Speech-Language Pathologist | 421 Benson Ave Ne Apt 2109, Grand Rapids, MI 49503-0026 | 2019-08-29 |
| 1285289413 | Chelsea Lauryn Noorman | Speech-Language Pathologist | 155 Indiana Ave Nw, Grand Rapids, MI 49504-5664 | 2019-08-05 |
| 1922560911 | Amy Morgan Linde | Speech-Language Pathologist | 270 Henry Ave Se, Grand Rapids, MI 49503-4711 | 2019-04-01 |
| 1720546963 | Anita Marie O'connor-morgan | Speech-Language Pathologist | 3643 Dawes Ave Se, Grand Rapids, MI 49508-5510 | 2019-03-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on MS. NICOLE L NICOLAS.
| 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.