Jacqueline Nickel, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6765 Issued in SC

Practice address

3100 Tradition Cir
Mt Pleasant, SC 29466-7200

Phone

(843) 654-7945

Fax

(317) 884-3388

NPI assigned

Feb 7, 2019

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1073078689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 KINGSFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667251",
            "telephone_number": "412-726-3926",
            "fax_number": "800-603-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TRADITION CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667200",
            "telephone_number": "843-654-7945",
            "fax_number": "317-884-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "JACQUELINE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan S. Newton Jr., PHARM D, R PH
• Minhthu Nguyen
• Viet Nguyen
• NH VCN Virtual Primary Care LLC (Novant Health Virtual Primary Care)
• Amber Joy Nicholson, PTA
• Jena W. Nickles, PA
• Nicole Dahlkemper, DMD, PC
• Bethaney Nielsen, DPT
• Hailey G Nies, SLP
• Nirvana Wellness (Atlas Spine and Wellness Care)

• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.