Organization Active NPI

Nice Speech Lady LLC

  • Speech-Language Pathologist
  • Socorro, NM
National Provider Identifier
1134714348
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NICE SPEECH LADY LLC
Practice address
409 N California St
Socorro, NM 87801-4208
Phone
(505) 907-1902
Fax
(833) 448-2997
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Wilson Nice, M.A., CCC-SLPNPI 1205135753
Title
Owner
Phone
(505) 907-1902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

409 N California St
Socorro, NM 87801-4208

Mailing address

409 N California St
Socorro, NM 87801-4208
Phone (505) 907-1902

Other practice location 1

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (505) 907-1902

Other practice location 2

715 N. California Street, Suite A
Socorro,, NM 87801
Phone (505) 907-1902

Other practice location 3

604 Reservoir St
Socorro, NM 87801-4333
Phone (505) 358-9946

Other practice location 4

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (505) 358-9946

Other identifiers 2

IdentifierTypeStateIssuer
52071804MedicaidNM
1184855181MedicaidNC

Other names 2

  • Nice Speech Lady, PLLC Doing business as
  • The Nice Speech Lady LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210820002489 NM Part B Supplier - Clinic/Group Practice 5092110577 Receives reassigned benefits from 1 practitioner
Practice locations: Socorro, NM
O20220803001847 NC Part B Supplier - Clinic/Group Practice 5092110577 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

715 N California St
Ste A
Socorro, NM 87801
Phone (505) 358-9946

409 N California St
Socorro, NM 87801
Phone (505) 907-1902

1207 Frontage Rd NW
Socorro, NM 87801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1134714348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N CALIFORNIA ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014208",
            "telephone_number": "505-907-1902",
            "fax_number": "833-448-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N CALIFORNIA ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014208",
            "telephone_number": "505-907-1902",
            "fax_number": "833-448-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Wake Forest Rd Ste 349",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276090010",
            "country_code": "US",
            "telephone_number": "505-907-1902",
            "fax_number": "855-978-1157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 N. California Street, Suite A",
            "address_purpose": "LOCATION",
            "city": "Socorro,",
            "state": "NM",
            "postal_code": "87801",
            "country_code": "US",
            "telephone_number": "505-907-1902",
            "fax_number": "855-978-1157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Reservoir St",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "NM",
            "postal_code": "878014333",
            "country_code": "US",
            "telephone_number": "505-358-9946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "505-358-9946",
            "fax_number": "183-345-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICE SPEECH LADY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "NICE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-907-1902",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52071804",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184855181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nice Speech Lady, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Nice Speech Lady LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Socorro, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.