Individual provider Active NPI

Nicole Pheifer, SLP

  • Speech-Language Pathologist
  • Richland, WA
National Provider Identifier
1063254670
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI61564888 Issued in WA
Practice address
1518 Jadwin Ave
Richland, WA 99354-2902
Phone
(509) 942-8474
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI61564888 WA Primary

Addresses

Primary practice location

1518 Jadwin Ave
Richland, WA 99354-2902

Mailing address

1518 Jadwin Ave
Richland, WA 99354-2902
Phone (509) 942-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SI61564888WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Therapy Services ,PLLC Speech-Language Pathologist CurrentSince Jun 1, 2024 Accepting new patients

Locations

1518 Jadwin Ave
Richland, WA 99354
Phone (509) 942-8474

925 Stevens Dr
Ste 1E
Richland, WA 99352
Phone (509) 942-8474

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1063254670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542902",
            "telephone_number": "509-942-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542902",
            "telephone_number": "509-942-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEIFER",
        "first_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI61564888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.