Active NPI
Nicole Daley
- Speech-Language Pathologist
- Riviera Beach, FL
National Provider Identifier
1336073436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA22358
- Practice address
- 5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7815 - Phone
- (561) 840-0754
- NPI assigned
- Jun 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA22358 | FL | Primary |
Addresses
Primary practice location
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7815
Mailing address
880 Cain Dr
Wiggins, MS 39577-8761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-3329716 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1336073436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 CAIN DR",
"city": "WIGGINS",
"state": "MS",
"postal_code": "395778761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 W BLUE HERON BLVD",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334187815",
"telephone_number": "561-840-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA22358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20-3329716",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.