Nicole Albertson, M.S.,SLP-INTERN

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116721 Issued in TX

Practice address

850 Tower Dr Ste 112
Odessa, TX 79761-4252

Phone

(432) 614-0268

Fax

(888) 972-6512

NPI assigned

Jun 3, 2020

Last updated

Jun 3, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Nicole Cavett Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1336763416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12064",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797682064",
            "telephone_number": "432-614-0268",
            "fax_number": "888-972-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR STE 112",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614252",
            "telephone_number": "432-614-0268",
            "fax_number": "888-972-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "NICOLE",
        "credential": "M.S.,SLP-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812078795",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Odessa",
            "affiliation": "N",
            "endpointDescription": "Odessa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "850 Tower Dr Ste 112",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Odessa",
            "affiliation": "N",
            "endpointDescription": "Odessa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "850 Tower Dr Ste 112",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CAVETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bashar Husam Subhi Alamour
• Alan C Leshnower MD, PA
• Alan D Smith MD PA
• Joyce Alase, MD
• Heather Alberts
• Tadesse S Alemu, MD
• Alexas Home Health
• Alfonso I Gonzalez MD PA
• Muhammad Ali
• Zahra Piyar Ali, MD

• Speech-Language Pathologist in Odessa, TX
• Providers in Odessa, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.