Kristi Nicolson, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00 Issued in VT

Practice address

61 Greenway
Vernon, VT 05354-9474

Phone

(802) 254-6041

Fax

(802) 257-5362

NPI assigned

Oct 23, 2013

Last updated

Oct 23, 2013By 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 3

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1225466519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GREENWAY",
            "city": "VERNON",
            "state": "VT",
            "postal_code": "053549474",
            "telephone_number": "802-254-6041",
            "fax_number": "802-257-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GREENWAY",
            "city": "VERNON",
            "state": "VT",
            "postal_code": "053549474",
            "telephone_number": "802-254-6041",
            "fax_number": "802-257-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLSON",
        "first_name": "KRISTI",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "00",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "111281",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Howard
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• Danielle R Magnant, COTA/L
• Leo Jane Moskowitz, LICSW
• James Nowak, PT
• Katie E O'Brian, MS, OTR/L
• Valiere Oberg
• Karen Patten
• Madison Sommers McNary

• Speech-Language Pathologist in Vernon, VT
• Providers in Vernon, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.