Individual provider Active NPI

Nickole Saladin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Suwanee, GA
National Provider Identifier
1144597840
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005649 Issued in GA
Practice address
4760 Dartmoor LN
Suwanee, GA 30024-3340
Phone
(404) 512-6559
Fax
(678) 894-8434
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005649 GA Primary

Addresses

Primary practice location

4760 Dartmoor LN
Suwanee, GA 30024-3340

Mailing address

4760 Dartmoor LN
Suwanee, GA 30024-3340
Phone (404) 512-6559

Other identifiers 1

IdentifierTypeStateIssuer
095372128BMedicaidGA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP005649GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech for All, Inc Speech-Language Pathologist Past Accepting new patients
Joy Therapy and Learning Center LLC Speech-Language Pathologist PastSince Jan 26, 2025 Accepting new patients

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1144597840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 DARTMOOR LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243340",
            "telephone_number": "404-512-6559",
            "fax_number": "678-894-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 DARTMOOR LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243340",
            "telephone_number": "404-512-6559",
            "fax_number": "678-894-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALADIN",
        "first_name": "NICKOLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095372128B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.