Active NPI
Cynthia Nell Nichols, MA CCC-SLP
- Speech-Language Pathologist
- Ontario, OH
National Provider Identifier
1083030787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2994
- Practice address
- 890 W 4TH St
Suite 100
Ontario, OH 44906-2565 - Phone
- (419) 774-5520
- NPI assigned
- Mar 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2994 | OH | Primary |
Addresses
Primary practice location
890 W 4TH St
Suite 100
Ontario, OH 44906-2565
Mailing address
1674 Pin Oak TRL
Mansfield, OH 44906-3652
Phone (419) 774-0414
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2994 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1083030787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 PIN OAK TRL",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063652",
"telephone_number": "419-774-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W 4TH ST",
"address_2": "SUITE 100",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062565",
"telephone_number": "419-774-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "CYNTHIA",
"middle_name": "NELL",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "2994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.