Nicole Kowalik – Speech-Language Pathologist

Key facts

NPI: 1083906705
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
Practice address: 158 Bryant St NW Apt 2
Washington, DC 20001-7018
Phone: (202) 480-9511
NPI assigned: May 12, 2011
Sex: Female
Sole proprietor: No

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.

City Sounds of Ny Local Education Agency (LEA) · New York, NY · NPI 1578870721

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

Practice roles

Organization	Specialty	Status	New patients
City Sounds of Ny		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X			Yes

Addresses

Primary practice location

158 Bryant St NW Apt 2
Washington, DC 20001-7018

Mailing address

158 Bryant St NW Apt 2
Washington, DC 20001-7018

Other names

Nicole Carbuto Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2024.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1083906705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 BRYANT ST NW APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200017018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 BRYANT ST NW APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200017018",
            "telephone_number": "202-480-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIK",
        "first_name": "NICOLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CARBUTO",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

All providers in Washington, DC · Speech-Language Pathologist in District of Columbia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.