Nicole Dederich, M.A. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

140527 Issued in KY

Practice address

900 Gagel Ave
Louisville, KY 40216-4012

Phone

(502) 368-5827

NPI assigned

Sep 11, 2013

Last updated

Jan 10, 2025By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1215362041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 STANLEY FARM CT",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316714",
            "telephone_number": "712-229-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GAGEL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164012",
            "telephone_number": "502-368-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDERICH",
        "first_name": "NICOLE",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007228A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kay Decker, APRN
• Tierra Decker, APRN
• Jessica Leigh Decoste, CRNA
• Sherry B Decuir, RPH
• Todd Jeffrey Dedas, LCSW
• Dionyzia Dedina, APRN
• Erin Lynn Dedman, MSN, APRN, FNP-C
• Mary Elizabeth Dedman, MD
• Thomas Curry Dedman, MD
• Matthew Tyler Dedomenico, DMD

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, 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 Jan 10, 2025; 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.