NICOLE NICHOLS (NPI# 1013366384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013366384 |
| Entity Type | Individual |
| Full Name | NICOLE NICHOLS |
| Practice Address |
2927 S Fish Hatchery Rd Fitchburg WI 53711-6498 |
| Practice Telephone | 6088196394 |
| Mailing Telephone | 6088196394 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4306-154 | WI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781062 | Nicole Nichols | Counselor | 34465 Ambrose Hoover Rd, Tickfaw, LA 70466-3917 | 2015-10-02 |
| 1609253715 | Nicole Nichols | Registered Nurse | 1305 N 11th St, Duncan, OK 73533-3705 | 2015-04-28 |
| 1881901684 | Nicole Arielle Nichols | Speech-Language Pathologist | 444 Community Drive Medical Center, Suite 309, Manhasset, NY 11030 | 2010-09-01 |
| 1336301704 | Nicole Nichols | Specialist | 1338 S Extension Road, Topinabee, MI 49791 | 2008-06-27 |
| 1902381346 | Nicole Nichols | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2018-10-02 |
| 1467971424 | Nicole Amber Nichols | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2017-09-11 |
| 1740721596 | Nicole Nichols | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-03-13 |
| 1568913648 | Nicole Nichols | Speech-Language Pathologist | 416 E 30th St, Baltimore, MD 21218-3934 | 2016-10-24 |
| 1962836551 | Nicole K Nichols | Registered Nurse | 10012 Kennerly Rd, Suite 101, Saint Louis, MO 63128-2197 | 2013-08-30 |
| 1548564883 | Nicole Latrece Nichols | Counselor | 945 Grand St, Starke, FL 32091-1821 | 2010-12-30 |
| Street Address |
2927 S FISH HATCHERY RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-6498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404374 | Marissa J Chiang | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2006-10-23 |
| 1235730334 | Haley Noel Moshier | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-11-04 |
| 1861099624 | Kelsey Conway | Physical Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-10-05 |
| 1649877713 | Jennifer Johnson | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-10-02 |
| 1427663541 | Shannon Kant | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1336754464 | Katie Campbell | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1194330134 | Olivia Ann Schorr | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1780298067 | Asha Fredrick | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-03 |
| 1891307401 | Taylor Wienkes | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-08-17 |
| 1225660665 | Natalie Laura Shirk | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| 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 |
|---|---|---|---|---|
| 1700342045 | Lisa M Schuebel | Speech-Language Pathologist | 47 Wood Brook Way, Fitchburg, WI 53711-6490 | 2019-02-12 |
| 1114491099 | Nancy Adams | Speech-Language Pathologist | 17 Bailey Way, Fitchburg, WI 53711-5132 | 2019-01-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1659765113 | Shawna Ellingen | Speech-Language Pathologist | 5510 Caddis Bnd Apt 104, Fitchburg, WI 53711-7147 | 2015-03-23 |
| 1003229345 | Sadie Bognar | Speech-Language Pathologist | 2927 S. Fish Hatchery Road, Fitchburg, WI 53711 | 2014-06-04 |
| 1184994725 | Deborah Ann Palmer | Speech-Language Pathologist | 2788 Ledgemont St, Fitchburg, WI 53711-5212 | 2012-01-11 |
| 1225316631 | Faith Leaich | Speech-Language Pathologist | 2990 Cahill Main Ste 204, Fitchburg, WI 53711-7150 | 2011-08-02 |
| 1942533690 | Valerie Veronica Chase | Speech-Language Pathologist | 1840 John Fitch Hwy, Fitchburg, MA 01420 | 2009-09-14 |
| 1124272422 | Jennifer Marie Vyas | Speech-Language Pathologist | 6106 Knotty Pine Way, Fitchburg, WI 53719-5141 | 2008-11-13 |
| 1154501518 | Kimberly Anne Porter | Speech-Language Pathologist | 619 South St, Fitchburg, MA 01420-6248 | 2007-11-13 |
| Find all providers in FITCHBURG | ||||
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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.