NICOLE L BOUGIE (NPI# 1790056687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790056687 |
| Entity Type | Individual |
| Full Name | NICOLE L BOUGIE |
| Credential | SLP |
| Practice Address |
36500 Aurora Dr Summit WI 53066-4899 |
| Practice Telephone | 2624345000 |
| Mailing Telephone | 2624345000 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3621 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
36500 AURORA DR |
| City | SUMMIT |
| State | WI |
| Zip Code | 53066-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242518 | Janice Mary Beaton | Audiologist | 36500 Aurora Dr, Summit, WI 53066-4899 | 2005-06-01 |
| 1821697863 | Mackenzie L Sinnen | Audiologist | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-10-21 |
| 1811515661 | Kira Greenwood | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-07-08 |
| 1588281802 | Makenzie A Kirk | Physician Assistant | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-07-02 |
| 1619598786 | Olivia Joi Carlton | Physical Medicine & Rehabilitation | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-04-30 |
| 1477186633 | Aurora Advanced Healthcare Inc | Durable Medical Equipment & Medical Supplies | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-02-17 |
| 1285279844 | Elizabeth Daniels | Physician Assistant | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-11-07 |
| 1265076087 | Jessica M Zuerner | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-11-05 |
| 1043860570 | Megan E Shea | Physician Assistant | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-09-17 |
| 1740835073 | Kristal D Timm | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1437750098 | Karen Infantini | Speech-Language Pathologist | 17 Princeton St, Summit, NJ 07901-4207 | 2020-11-02 |
| 1164052049 | Margot Elizabeth Tobias | Speech-Language Pathologist | 46 Valley View Ave, Summit, NJ 07901-2327 | 2020-01-20 |
| 1841731528 | Mary Mcdaniel | Speech-Language Pathologist | 2180 Martin Rd, Summit, MS 39666-9253 | 2017-03-15 |
| 1366991044 | Christina Rossi | Speech-Language Pathologist | 57 Union Pl Ste 315, Summit, NJ 07901-2568 | 2016-09-23 |
| 1972883940 | Jordan Spears Porter | Speech-Language Pathologist | 1036 Jaguar Trl, Summit, MS 39666-8188 | 2011-08-23 |
| 1952635120 | Shamona P Miller | Speech-Language Pathologist | 2085 Robb St. W Ext., Summit, MS 39666 | 2009-09-21 |
| 1508004052 | Jessica Anne Buongiorno | Speech-Language Pathologist | 4109 Highway 98w, Summit, MS 39666 | 2009-01-21 |
| 1316151830 | Tanekia Gatlin | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2007-05-10 |
| 1366654519 | Susan Tuli | Speech-Language Pathologist | 151 Summit Avenue, Summit, NJ 07901 | 2007-05-03 |
| 1538185681 | Creative Speech Solutions LLC | Speech-Language Pathologist | 151 Summit Ave, Summit, NJ 07901-2813 | 2006-07-14 |
| Find all providers in SUMMIT | ||||
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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.