Individual provider Active NPI

Nicole Hill, CCC-SLP

  • Speech-Language Pathologist
  • Guthrie, OK
National Provider Identifier
1225676356
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4394 Issued in OK
Practice address
11720 Silver Oak LN
Guthrie, OK 73044-5030
Phone
(405) 315-3092
Fax
(405) 477-8519
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 4394 OK Primary

Addresses

Primary practice location

11720 Silver Oak LN
Guthrie, OK 73044-5030

Mailing address

11720 Silver Oak LN
Guthrie, OK 73044-5030
Phone (405) 315-3092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130002080 OK Practitioner - Qualified Speech Language Pathologist 5991234205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Ability Speech Therapy LLC Speech-Language Pathologist CurrentSince Mar 12, 2023 Accepting new patients
Board of Regents of the University of Oklahoma - Allied Health Clinics CurrentSince Nov 25, 2024 Accepting new patients

Locations

1200 N Stonewall Ave
Oklahoma City, OK 73117
Phone (405) 271-2866

1200 N Stonewall Ave
Ste 1082
Oklahoma City, OK 73117

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1225676356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 SILVER OAK LN",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445030",
            "telephone_number": "405-315-3092",
            "fax_number": "405-477-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 SILVER OAK LN",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445030",
            "telephone_number": "405-315-3092",
            "fax_number": "405-477-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.