NICOLE SMITH (NPI# 1912355991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912355991 |
| Entity Type | Individual |
| Full Name | NICOLE SMITH |
| Credential | M.S., CCC-SLP |
| Practice Address |
3724 Thornhill Dr Champaign IL 61822-3530 |
| Practice Telephone | 6304404285 |
| Mailing Telephone | 6304404285 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146013127 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1396357356 | Nicole Lynn Smith | Behavior Technician | 1221 Maiden Choice Ln, Baltimore, MD 21229-5414 | 2020-08-20 |
| 1790393064 | Nicole L Smith | Nurse Practitioner | 505 Bingham Dr, Mcdonough, GA 30253-8050 | 2020-07-22 |
| 1144847807 | Nicole Francine Smith | Speech-Language Pathologist | 1643 Victoria Pointe Cir, Weston, FL 33327-1311 | 2020-06-29 |
| 1558981803 | Nicole Nadine Smith | Nurse Practitioner | 508 Wicklow Ct, Forest Hill, MD 21050-1644 | 2020-04-16 |
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1700448677 | Nicole E Smith | Registered Nurse | 4000 Bienville St Ste G, New Orleans, LA 70119-5163 | 2019-07-01 |
| 1720550809 | Nicole Sharron Smith | Nurse Practitioner | 3724 N 3rd St # 201, Phoenix, AZ 85012-2034 | 2018-12-29 |
| 1083184337 | Nicole Marie Smith | Psychologist | 124 Saddle Loop Unit B, Bigfork, MT 59911-3663 | 2018-11-29 |
| 1952880635 | Nicole Sharay Smith | In Home Supportive Care | 2150 Lincoln Ave, Cincinnati, OH 45224-1828 | 2018-08-13 |
| Street Address |
3724 THORNHILL DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1356963003 | Erica Wallen | Speech-Language Pathologist | 1208 Dorchester Dr, Champaign, IL 61821-7030 | 2020-05-15 |
| 1043858806 | Taloya Walker | Speech-Language Pathologist | 2773 Hunters Pond Run Apt 22, Champaign, IL 61820-2490 | 2019-12-11 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1265930358 | Chelsey Danielle Gallegos | Speech-Language Pathologist | 3309 Edward Hoffman Dr, Champaign, IL 61822-1806 | 2018-01-24 |
| 1184154965 | Rachel Michelle Jankiewicz | Speech-Language Pathologist | 603 Doisy Lane, Champaign, IL 61822-6182 | 2017-06-14 |
| 1326499054 | Anne Chedister | Speech-Language Pathologist | 812 W Daniel St, Champaign, IL 61820-5804 | 2016-06-23 |
| 1942659115 | Jenna Suttle | Speech-Language Pathologist | 3805 Sandstone Dr, Champaign, IL 61822-2045 | 2016-06-08 |
| 1710369533 | Martha Sherrill | Speech-Language Pathologist | 713 W Church St Apt 8, Champaign, IL 61820-3360 | 2015-06-29 |
| 1003214560 | Danielle Marie Berry | Speech-Language Pathologist | 2603 Alton Dr, Champaign, IL 61821-4774 | 2014-12-16 |
| 1144634304 | Cherie Cooper Kirkham | Speech-Language Pathologist | 2216 Scottsdale Dr, Champaign, IL 61822-7645 | 2014-06-16 |
| Find all providers in CHAMPAIGN | ||||
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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.