Individual provider Active NPI

Nichole Elizabeth Burns, CCC-SLP

  • Speech-Language Pathologist
  • Port Charlotte, FL
National Provider Identifier
1235866468
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2032 El Jobean Rd Unit 4
Port Charlotte, FL 33948-1247
Phone
(941) 237-0017
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 Primary

Addresses

Primary practice location

2032 El Jobean Rd Unit 4
Port Charlotte, FL 33948-1247

Mailing address

11291 Pinot Dr
Venice, FL 34293-1799
Phone (703) 568-1241

Other practice location 1

11291 Pinot Dr
Venice, FL 34293-1799
Phone (703) 568-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Play & Progress PLLC Speech-Language Pathologist CurrentSince Mar 20, 2025 Accepting new patients

Locations

2032 El Jobean Rd
Unit 4
Port Charlotte, FL 33948
Phone (941) 237-0017

Organizations & group practices 1

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1235866468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11291 PINOT DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931799",
            "telephone_number": "703-568-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 EL JOBEAN RD UNIT 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481247",
            "telephone_number": "941-237-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11291 Pinot Dr",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342931799",
            "country_code": "US",
            "telephone_number": "703-568-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "NICHOLE",
        "middle_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.