Individual provider Active NPI

Nicole Oberman, MS CCC-SLP

  • Speech-Language Pathologist
  • Encinitas, CA
National Provider Identifier
1144994229
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2021 Village Wood Rd
Encinitas, CA 92024-4340
Phone
(858) 224-2415
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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 Primary

Addresses

Primary practice location

2021 Village Wood Rd
Encinitas, CA 92024-4340

Mailing address

2021 Village Wood Rd
Encinitas, CA 92024-4340
Phone (858) 224-2415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124004478 CA Practitioner - Qualified Speech Language Pathologist 4486146701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 Village Wood Rd
Encinitas, CA 92024-4340

PO Box
Suite 1229
Del Mar, CA 92014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33440CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adult Wellbeing Speech Therapy Inc CurrentSince Sep 7, 2025 Accepting new patients
Vital Speech and Swallow Speech Therapy, Inc Speech-Language Pathologist CurrentSince Jul 31, 2023 Accepting new patients
Vital Speech and Swallow Speech-Language Pathologist PastSince Aug 8, 2021 Accepting new patients
Natalia Pokras, DPT, a Professional Corporation Past Accepting new patients

Locations

20720 Ventura Blvd
Ste 260
Woodland Hills, CA 91364
Phone (818) 708-7704

Organizations & group practices 4

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1144994229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 VILLAGE WOOD RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244340",
            "telephone_number": "858-224-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 VILLAGE WOOD RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244340",
            "telephone_number": "858-224-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMAN",
        "first_name": "NICOLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.