Individual provider Active NPI

Nikki Leigh Walsh, M.ED.CCC-SLP

  • Speech-Language Pathologist
  • Bartlesville, OK
National Provider Identifier
1184282675
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2697 Issued in OK
Practice address
117 W 5TH St # LL
Bartlesville, OK 74003-6651
Phone
(918) 203-3312
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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 2697 OK Primary

Addresses

Primary practice location

117 W 5TH St # LL
Bartlesville, OK 74003-6651

Mailing address

6500 Baylor Dr
Bartlesville, OK 74006-9012
Phone (918) 914-0008

Other names 1

  • Nicole Leigh Walsh Other name

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

State licenses

LicenseStateTypeSpecialty
2697OKMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1184282675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BAYLOR DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740069012",
            "telephone_number": "918-914-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST # LL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036651",
            "telephone_number": "918-203-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "NIKKI",
        "middle_name": "LEIGH",
        "credential": "M.ED.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WALSH",
            "middle_name": "LEIGH",
            "credential": "M.ED.CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.