Active NPI
Bridget Nicole
- Speech-Language Pathologist
- Evansville, IN
National Provider Identifier
1114646080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22008570A
- Practice address
- 3701 Bellemeade Ave
Evansville, IN 47714-0137 - Phone
- (812) 479-1411
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 22008570A | IN | Primary |
Addresses
Primary practice location
3701 Bellemeade Ave
Evansville, IN 47714-0137
Mailing address
3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpayne@simply-therapy.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22008570A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JB Therapy Services PLLC | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Owensboro, KY
- NPI 1710200399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1114646080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLE",
"first_name": "BRIDGET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22008570A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpayne@simply-therapy.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "1512 Frederica St",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423014805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.