Nicole Shively

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

31324 Issued in CA

Practice address

813 Webster St
Colusa, CA 95932-2355

Phone

(530) 458-7631

NPI assigned

Aug 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1225952179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 5TH ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322445",
            "telephone_number": "530-458-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322355",
            "telephone_number": "530-458-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Lynn Santiago-Cole
• Leona Satterburg, PSYD
• Jeannie Ann Scroggins
• Angela Michelle Shields
• Kevin Edward Shields
• Steve Quinn Shoup
• Indarjit Kaur Sidhu, PHARM.D.
• Manuela Alejandra Sierra Ramirez
• Hector J Silva, CASE MANAGER
• Sean K Simonds

• Speech-Language Pathologist in Colusa, CA
• Providers in Colusa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.