Emily Joy Nicholls, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12005 Issued in TX

Practice address

704 Longmire Rd Ste 101
Conroe, TX 77304-1850

Phone

(936) 441-1525

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1013638402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PANTERRA WAY",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822899",
            "telephone_number": "970-988-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LONGMIRE RD STE 101",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041850",
            "telephone_number": "936-441-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "EMILY",
        "middle_name": "JOY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thong Nguyen, DMD
• Thuy Chau Nguyen, O.D.
• Tien Trieu Nguyen
• Trang Doan Nguyen, MD
• Nhue Ho MD PLLC
• Mark Edward Nichols, M.D.
• Vicky Nichols, LVN
• Katrina Renee Nico, APRN, PMHNP-BC
• Emily Ann Niebel, M.S., CCC-SLP
• Danielle Lee Nielsen, NP-C

• Speech-Language Pathologist in Conroe, TX
• Providers in Conroe, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.