NICOLE MUNN (NPI# 1811553035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811553035 |
| Entity Type | Individual |
| Full Name | NICOLE MUNN |
| Credential | CCC-SLP |
| Practice Address |
4624 Summerdale Dr Milton FL 32571-1368 |
| Mailing Address |
349 Sharon Dr Niceville FL 32578-1707 |
| Practice Telephone | 8509943456 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA17065 | FL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 S Ferdon Blvd Ste C1, Crestview, FL 325365287 | 8506828388 |
| Street Address |
4624 SUMMERDALE DR |
| City | MILTON |
| State | FL |
| Zip Code | 32571-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295758 | Alison Summerlin Morris | Speech-Language Pathologist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2020-08-13 |
| 1548889199 | Danielle Marie Costantini | Occupational Therapist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2020-04-14 |
| 1184261810 | Kathryn Grace Foy | Occupational Therapist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2019-12-02 |
| 1578045324 | Tasia Robertson | Physical Therapist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2018-08-29 |
| 1962923821 | Emily Mixson | Speech-Language Pathologist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2017-06-30 |
| 1922429869 | Amber Gaines | Speech-Language Pathologist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2013-12-19 |
| 1952310765 | Nicole Frank Watkins | Physical Therapist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| 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 |
|---|---|---|---|---|
| 1255948709 | Boston Sensory Solutions | Speech-Language Pathologist | 500 Granite Ave Ste 2, Milton, MA 02186-5626 | 2020-09-29 |
| 1467098996 | Cherise Kelly | Speech-Language Pathologist | 620 Scarlet Oak Trl, Milton, GA 30004-0916 | 2019-11-19 |
| 1598222655 | Quanisha Danea Lee | Speech-Language Pathologist | 4001 Willis Way, Milton, FL 32583-5024 | 2019-02-25 |
| 1134570294 | Brittany Marie Peterson | Speech-Language Pathologist | 44 Cedar Ter, Milton, MA 02186-4302 | 2016-06-29 |
| 1760883706 | Nohemi Moffatt | Speech-Language Pathologist | 4560 River Ranch Rd, Milton, FL 32583-3205 | 2014-09-09 |
| 1053749291 | Kayla Fenech | Speech-Language Pathologist | 5308 Stewart St, Milton, FL 32570-4736 | 2013-10-25 |
| 1497187082 | Heidi Lee Cary | Speech-Language Pathologist | 24 Route 7 N, Milton, VT 05468-3966 | 2013-08-06 |
| 1982966826 | Tami Koester | Speech-Language Pathologist | 42 Herrick Ave, Milton, VT 05468-3037 | 2012-06-15 |
| 1568724805 | Amy T Squires | Speech-Language Pathologist | 200 Atlanta Providence Ct, Milton, GA 30004-7523 | 2012-06-12 |
| 1376842369 | Meena Theresa Tondravi | Speech-Language Pathologist | 6 Marilyn Rd, Milton, MA 02186-2834 | 2011-03-16 |
| Find all providers in MILTON | ||||
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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.