MRS. NIKISHA NICOLE CLEMENTIN (NPI# 1861662157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861662157 |
| Entity Type | Individual |
| Full Name | MRS. NIKISHA NICOLE CLEMENTIN |
| Credential | M.ED. CCC-SLP |
| Practice Address |
435 Sedgewood Cir West Melbourne FL 32904-8041 |
| Practice Telephone | 8323157454 |
| Mailing Telephone | 8323157454 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA14801 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 103010 | TX | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3706 Ward St, Houston, TX 770214712 | 8322965216 |
| Street Address |
435 SEDGEWOOD CIR |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-8041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1326550724 | Pamela Kay Treadwell | Speech-Language Pathologist | 2403 Glasbern Cir, West Melbourne, FL 32904-8072 | 2017-10-26 |
| 1245627595 | April Fletcher | Speech-Language Pathologist | 2532 Glasbern Cir, West Melbourne, FL 32904-8073 | 2015-04-23 |
| 1477981546 | Nicole Gillham | Speech-Language Pathologist | 3265 Irene St, West Melbourne, FL 32904-6732 | 2013-10-28 |
| 1518123074 | Andrea Jean Swayze | Speech-Language Pathologist | 1242 Hailey St, West Melbourne, FL 32904-8210 | 2008-08-04 |
| 1578774915 | Jennifer Leah Woodall | Speech-Language Pathologist | 1965 Botanica Circle, West Melbourne, FL 32904 | 2007-05-25 |
| 1336613769 | Matthew Comer | Speech-Language Pathologist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2019-01-18 |
| 1639314156 | Molly Kathryn Johnson | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2008-12-12 |
| 1063534485 | Sydney Kroeckcaddy | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-04-05 |
| 1245355494 | Joann Carr | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-03-20 |
| 1720103658 | Kathleen Mae Corbett | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-03-20 |
| Find all providers in WEST MELBOURNE | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
Please comment or provide details below to improve the information on MRS. NIKISHA NICOLE CLEMENTIN.
| 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.