Active NPI
Nicole Jacqueline Prince
- Speech-Language Pathologist
- Brownsville, TX
National Provider Identifier
1043695612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 110273
- Practice address
- 814 N Expressway # 77
Suite 5
Brownsville, TX 78521-1422 - Phone
- (956) 443-0266
- Fax
- (956) 443-0292
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110273 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP.0007005 | CO |
Addresses
Primary practice location
814 N Expressway # 77
Suite 5
Brownsville, TX 78521-1422
Mailing address
814 N Expressway # 77
Suite 5
Brownsville, TX 78521-1422
Phone (956) 443-0266
Other practice location 1
102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone (512) 377-6318
Other names 1
- Nicole Prince-Mares
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623002471 | TX | Practitioner - Qualified Speech Language Pathologist | 9133692080 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110273 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1043695612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 N EXPRESSWAY # 77",
"address_2": "SUITE 5",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785211422",
"telephone_number": "956-443-0266",
"fax_number": "956-443-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 N EXPRESSWAY # 77",
"address_2": "SUITE 5",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785211422",
"telephone_number": "956-443-0266",
"fax_number": "956-443-0292"
}
],
"practiceLocations": [
{
"address_1": "102 S Tejon St Ste 1100",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809032253",
"country_code": "US",
"telephone_number": "512-377-6318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCE",
"first_name": "NICOLE",
"middle_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110273",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0007005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PRINCE-MARES",
"code": "5",
"type": "Other Name"
}
]
}
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- Price Village Family Clinic
- Prime Home Care Inc.
- Debra Prince
- Principal Care of Texas LLC (Principal Care of Texas)
- PRN Home Health, Inc. (Cima Health Latino)
- Procare Hospice and Palliative Health Services LLC
- Professional Anesthesia Service, PLLC
- Professional Dental Group P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.