Nicole C Allen, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Greenacres, FL
NPI 1346536166 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1346536166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA 5127 (FL)
- Practice address
- 5002 Sabreline Ter
Greenacres, FL 33463-5956 - Phone
- (561) 704-7172
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210315001484 | FL | Practitioner - Qualified Speech Language Pathologist | 6901212018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 5127 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Health Group Corp | Current |
Accepting new patients | |
| Ace Speech & Language, L.L.C | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
3900 Woodlake Blvd
Ste 202
Greenacres, FL 33463
Phone (561) 249-7701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 5127 | FL | Yes |
Addresses
Primary practice location
5002 Sabreline Ter
Greenacres, FL 33463-5956
Mailing address
5002 Sabreline Ter
Greenacres, FL 33463-5956
Phone (561) 704-7172
Other providers in Greenacres, FL
- Danays Davalos Alfonso
- Allcare Medical Transit, LLC
- Allen Acupuncture & Wellness, LLC
- Allen Chiropractic PA
- Julie Allen
- Sara M Allen
- Flavia Alonso Echevarria
- Alpha & Omega Medical Supplies LLC
- Alpha Home Health LLC
- Jorge Carlos Alvarez Feito
All providers in Greenacres, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.