NICOLE FOUNTAIN (NPI# 1235748369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235748369 |
| Entity Type | Individual |
| Full Name | NICOLE FOUNTAIN |
| Practice Address |
25700 N. 21st Avenue Phoenix AZ 85085 |
| Mailing Address |
1715 W Eagle Talon Trl Phoenix AZ 85085-5344 |
| Practice Telephone | 6234455800 |
| Mailing Telephone | 6023091313 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770865214 | Nicole Briann Fountain | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2011-09-11 |
| Street Address |
25700 N. 21ST AVENUE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| 1720316847 | Nickolas Scott Mccann | Chiropractor | 34406 N. 27th Dr. Build 6, Suite 140, Phoenix, AZ 85085 | 2009-12-01 |
| Find all providers in zip 85085 | ||||
| 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 |
|---|---|---|---|---|
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
| 1861915837 | Kerry Elisabeth Fitzpatrick | Speech-Language Pathologist | 4313 Green Glade Rd, Phoenix, MD 21131-1703 | 2017-07-21 |
| Find all providers in PHOENIX | ||||
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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.