Individual provider Active NPI

Nicole Jacqueline Prince

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1043695612
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110273 Issued in TX
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

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
110273TXMDSpeech-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"
        }
    ]
}

Other providers in Brownsville, TX

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.

Verify at the official NPI Registry.