Individual provider Active NPI

Nicole Herman, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Brunswick, OH
National Provider Identifier
1306260906
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.10483 Issued in OH
Practice address
3650 Grafton Rd
Brunswick, OH 44212-1804
Phone
(330) 273-0408
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 SP.10483 OH Primary

Addresses

Primary practice location

3650 Grafton Rd
Brunswick, OH 44212-1804

Mailing address

42077 Whitney Rd
Lagrange, OH 44050-9604
Phone (330) 608-5492

Other practice location 1

6321 Saint Andrews Dr
Apt. 37
Canfield, OH 44406-9580
Phone (330) 608-5492

Other practice location 2

42077 Whitney Rd
LaGrange, OH 44050-9604
Phone (330) 608-5492

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.10483OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1306260906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42077 WHITNEY RD",
            "city": "LAGRANGE",
            "state": "OH",
            "postal_code": "440509604",
            "telephone_number": "330-608-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 GRAFTON RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442121804",
            "telephone_number": "330-273-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6321 Saint Andrews Dr",
            "address_2": "Apt. 37",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069580",
            "country_code": "US",
            "telephone_number": "330-608-5492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42077 Whitney Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "OH",
            "postal_code": "440509604",
            "country_code": "US",
            "telephone_number": "330-608-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "NICOLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.