Nicky Lee Williams, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

264275 Issued in KY

Practice address

1201 E Highway 22
Crestwood, KY 40014-9788

Phone

(502) 222-8480

NPI assigned

Sep 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1154043479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 AXIS DR APT 206",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060095",
            "telephone_number": "502-817-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149788",
            "telephone_number": "502-222-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Richwood Way",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400318930",
            "country_code": "US",
            "telephone_number": "502-222-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICKY",
        "middle_name": "LEE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20093",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "264275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary-Jo Weissrock, M.S., CCC-SLP
• James Marcus Wenninger, DMD
• Sara Elizabeth Whalin, PT
• Elisabeth Anne Williams, DI
• Erin Leigh Williams, M.S. CCC-SLP
• Morgan Riggs Wilson, DPT
• Rachel A Wilson, CCC-SLP
• Wisdom Chiropractic Center, Inc
• Kathleen Cain Wisdom, D.C.
• Emily Woods, OTR/L

• Speech-Language Pathologist in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.