JACQUELINE NICKEL (NPI# 1073078689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073078689 |
| Entity Type | Individual |
| Full Name | JACQUELINE NICKEL |
| Credential | MS CCC SLP |
| Practice Address |
3100 Tradition Cir Mt Pleasant SC 29466-7200 |
| Mailing Address |
2567 Kingsfield St Mount Pleasant SC 29466-7251 |
| Practice Telephone | 8436547945 |
| Practice Fax Number | 3178843388 |
| Mailing Telephone | 4127263926 |
| Mailing Fax Number | 8006036046 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6765 | SC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544127 | Jacqueline Nickel | Optometrist | 1140 Edwards Village Blvd., Suite B206, Edwards, CO 81632 | 2018-10-23 |
| Street Address |
3100 TRADITION CIR |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396795142 | Tx: Team Rehab Inc. | Physical Therapist | 3100 Tradition Cir, Mt Pleasant, SC 29466-7200 | 2006-05-11 |
| 1396181426 | Mary L Varn | Physical Therapy Assistant | 3100 Tradition Cir, Mt Pleasant, SC 29466-7200 | 2013-05-15 |
| 1255608675 | Meryl Ann Hughes | Speech-Language Pathologist | 3100 Tradition Cir, Mt Pleasant, SC 29466-7200 | 2011-11-30 |
| 1962783688 | Denise M Bromer | Speech-Language Pathologist | 3100 Tradition Cir, Mt Pleasant, SC 29466-7200 | 2011-09-08 |
| 1821399189 | Jacqueline Ann Duffy | Speech-Language Pathologist | 3100 Tradition Cir, Mt Pleasant, SC 29466 | 2010-11-03 |
| 1689974958 | Tx:team Rehab Inc. | Occupational Therapist | 3100 Tradition Cir, Mt Pleasant, SC 29466-7200 | 2010-11-02 |
| 1952319238 | Stephen A Murk | Internal Medicine | 3100 Tradition Cir, Select Senior Medicine, Mt Pleasant, SC 29466-7200 | 2006-08-03 |
| 1922046259 | Michele A Moore | Physical Therapist | 3100 Tradition Cir, Mt Pleasant, SC 29466-7200 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1619503992 | Bryce Sinnett | Speech-Language Pathologist | 6233 Durand Ave Ste 104, Mt Pleasant, WI 53406-4961 | 2020-03-18 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1194288225 | Tracie Lynn Wilson | Speech-Language Pathologist | 2070 S Smokerise Way, Mt Pleasant, SC 29466-8635 | 2019-04-06 |
| 1396213112 | Brittany Ann Karp | Speech-Language Pathologist | 300 Seaport Ln Unit 1200, Mt Pleasant, SC 29464-3098 | 2018-11-09 |
| 1154803815 | Crystal G Cooper | Speech-Language Pathologist | 5008 Mark Ln, Mt Pleasant, TX 75455-6506 | 2018-08-29 |
| 1356839815 | Rebecca M Fosberry | Speech-Language Pathologist | 1525 Old Village Dr, Mt Pleasant, SC 29464-4941 | 2018-04-30 |
| 1598297236 | Debra Crowe | Speech-Language Pathologist | 1143 Black Rush Cir, Mt Pleasant, SC 29466-8083 | 2017-03-31 |
| 1184163842 | Love of Language | Speech-Language Pathologist | 381 Stonewall Ct, Apt 6305, Mt Pleasant, SC 29464-7984 | 2017-02-14 |
| 1093269755 | Alexandra Joan Vandersteenhoven-creger | Speech-Language Pathologist | 709 Blue Jack Pt, Mt Pleasant, SC 29464-5113 | 2016-08-11 |
| 1043680259 | Jennifer Lyn Creed | Speech-Language Pathologist | 615 E Hobcaw Dr, Mt Pleasant, SC 29464-2549 | 2015-09-30 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on JACQUELINE NICKEL.
| 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.