Individual provider Active NPI

Nicole Nardi

  • Speech-Language Pathologist
  • Fredericksburg, VA
National Provider Identifier
1124596952
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01060200 Issued in NJ
Practice address
4528 Plank Rd
Fredericksburg, VA 22407-0141
Phone
(540) 841-4443
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101009328 MI
Speech-Language Pathologist 235Z00000X 41YS01060200 NJ Primary

Addresses

Primary practice location

4528 Plank Rd
Fredericksburg, VA 22407-0141

Mailing address

4528 Plank Rd
Fredericksburg, VA 22407-0141
Phone (154) 084-1444

Other names 1

  • Nicole Tamborra Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260214000737 MI Practitioner - Qualified Speech Language Pathologist 9537402862 Reassigns benefits to 1 organization
I20260218002613 NJ Practitioner - Qualified Speech Language Pathologist 9537402862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101009328MIMDSpeech-Language Pathologist
41YS01060200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Mar 23, 2026 Accepting new patients
Expressable Therapy of New Jersey PC Speech-Language Pathologist CurrentSince Mar 23, 2026 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

41000 Woodward Ave
Ste 350
Bloomfld Hls, MI 48304
Phone (248) 835-5705

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

250 Pehle Ave
Ste 200
Saddle Brook, NJ 07663
Phone (201) 474-2113

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1124596952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "154-084-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "540-841-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009328",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01060200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TAMBORRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.