Suzette Nielsen, SLP-CCC, MCD,MED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19612 Issued in TX

Practice address

981 Arbor Way
Conroe, TX 77303

Phone

(936) 827-6469

NPI assigned

Apr 3, 2007

Last updated

Sep 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1194846311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1872",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561872",
            "telephone_number": "936-827-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 ARBOR WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77303",
            "telephone_number": "936-827-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SUZETTE",
        "credential": "SLP-CCC, MCD,MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171716701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Nichols, LVN
• Katrina Renee Nico, APRN, PMHNP-BC
• Emily Ann Niebel, M.S., CCC-SLP
• Danielle Lee Nielsen, NP-C
• Kassandra Kamma Nielsen, RNFA, CNOR, BSN
• Julie McParlane Nieto, L.P.C., L.M.F.T.
• Tana Marie Nieto, MD
• Jason Nikirk
• Nimax Healthcare LLC (Cedar Care)
• Nirp Woodlands PLLC (PAD Specialists - Woodlands)

• Speech-Language Pathologist in Conroe, TX
• Providers in Conroe, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.