Active NPI
Nicole Dobson
- Speech-Language Pathologist
- Hiram, ME
National Provider Identifier
1194029108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1327
- Practice address
- 137 S Hiram Rd
Hiram, ME 04041-3636 - Phone
- (207) 625-7134
- Fax
- (207) 625-7186
- NPI assigned
- Jan 5, 2011
- Last updated
- Jan 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1327 | ME | Primary |
Addresses
Primary practice location
137 S Hiram Rd
Hiram, ME 04041-3636
Mailing address
137 S Hiram Rd
Hiram, ME 04041-3636
Phone (207) 625-7134
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP1327 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine School Administrative District No 55 | Past | Accepting new patients | |
| Maine School Administrative District No 55 | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Hiram, ME
- NPI 1821201609
-
- Local Education Agency (LEA)
- Hiram, ME
- NPI 1912110792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1194029108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 S HIRAM RD",
"city": "HIRAM",
"state": "ME",
"postal_code": "040413636",
"telephone_number": "207-625-7134",
"fax_number": "207-625-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 S HIRAM RD",
"city": "HIRAM",
"state": "ME",
"postal_code": "040413636",
"telephone_number": "207-625-7134",
"fax_number": "207-625-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP1327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.