NICOLE LYNNE NICKEL (NPI# 1972040830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972040830 |
| Entity Type | Individual |
| Full Name | NICOLE LYNNE NICKEL |
| Credential | SLP CCC |
| Practice Address |
2258 N Lakeway Cir Wichita KS 67205-1082 |
| Mailing Address |
3223 N Oliver St Wichita KS 67220-2106 |
| Practice Telephone | 3169457117 |
| Practice Fax Number | 3169457447 |
| Mailing Telephone | 3162675437 |
| Mailing Fax Number | 3162675444 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4049 | KS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 1679671671 | 05 |
| Street Address |
2258 N LAKEWAY CIR |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255738365 | Kelly Welch | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2014-12-04 |
| 1184241168 | Anne Kathryn Perez | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2020-06-25 |
| 1821636648 | Chelsy Sue Stegman | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2019-12-11 |
| 1720540701 | Molly Rae Farley | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2019-04-01 |
| 1023599362 | Emily Caitlyn Dougherty | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2018-08-24 |
| 1184149171 | Sarah Page Woodruff | Physical Therapist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2017-08-10 |
| 1053840975 | Braden Alec Sullivan | Respite Care | 2258 N Lakeway Cir, Wichita, KS 67205 | 2017-06-05 |
| 1235682337 | Brooke N Edsall | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2016-07-26 |
| 1902204993 | Crystal L Weippert | Speech-Language Pathologist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| 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 |
|---|---|---|---|---|
| 1114539640 | Elizabeth Marie Bayless | Speech-Language Pathologist | 14009 W Texas Cir, Wichita, KS 67235-9155 | 2020-08-17 |
| 1346897436 | Tonya Marchand | Speech-Language Pathologist | 206 N Gateway Cir, Wichita, KS 67230-7912 | 2019-08-22 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1740742774 | Annarose Friesen | Speech-Language Pathologist | 1655 S Georgetown St, Wichita, KS 67218-4140 | 2019-03-31 |
| 1407320567 | Maggie Porter | Speech-Language Pathologist | 7627 E 37th St N Apt 802, Wichita, KS 67226-2803 | 2019-01-11 |
| 1477067486 | Holly D Taylor | Speech-Language Pathologist | 1999 N Amidon Ave Ste 110, Wichita, KS 67203-2122 | 2017-11-29 |
| 1265953962 | Devon Frances Andra | Speech-Language Pathologist | 101 N Ridge Rd Ste 6, Wichita, KS 67212-3367 | 2017-07-03 |
| 1023561784 | Teresa L Spencer | Speech-Language Pathologist | 1424 N Stoney Point St # 1270, Wichita, KS 67212-1270 | 2016-07-29 |
| 1992155147 | Marcus Burgardt | Speech-Language Pathologist | 332 S Belmont St, Wichita, KS 67218-1306 | 2016-06-20 |
| 1902256969 | Holly Lyons | Speech-Language Pathologist | 303 N Dellrose St, Wichita, KS 67208-3925 | 2016-06-20 |
| Find all providers in WICHITA | ||||
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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.