Nicole Lynne Dillon, MA/SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010833 Issued in PA

Practice address

5 Manorfield Cir
Delmont, PA 15626-1548

Phone

(724) 493-9643

NPI assigned

May 16, 2012

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

Other names 1

• Nicole Lynne Zimmerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1083973648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256A POKER RD",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156665532",
            "telephone_number": "724-493-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MANORFIELD CIR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261548",
            "telephone_number": "724-493-9643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 S Grande Blvd",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156018902",
            "country_code": "US",
            "telephone_number": "724-830-4000 x4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "credential": "MA/SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ZIMMERMAN",
            "middle_name": "LYNNE",
            "credential": "MA/SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Delmont, PA
• Providers in Delmont, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.