Individual provider Active NPI

Nicole C Allen, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Greenacres, FL
National Provider Identifier
1346536166
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 5127 Issued in FL
Practice address
5002 Sabreline Ter
Greenacres, FL 33463-5956
Phone
(561) 704-7172
NPI assigned
Jun 20, 2011
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 SA 5127 FL Primary

Addresses

Primary practice location

5002 Sabreline Ter
Greenacres, FL 33463-5956

Mailing address

5002 Sabreline Ter
Greenacres, FL 33463-5956
Phone (561) 704-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315001484 FL Practitioner - Qualified Speech Language Pathologist 6901212018 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA 5127FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Health Group Corp CurrentSince Mar 1, 2021 Accepting new patients
Ace Speech & Language, L.L.C Speech-Language Pathologist CurrentSince Mar 1, 2021 Accepting new patients

Locations

3900 Woodlake Blvd
Ste 202
Greenacres, FL 33463
Phone (561) 249-7701

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1346536166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 SABRELINE TER",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635956",
            "telephone_number": "561-704-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 SABRELINE TER",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635956",
            "telephone_number": "561-704-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.