Jennifer M. Nick
Individual provider Active NPI Speech-Language Pathologist · Wheeling, WV
NPI 1356528822 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1356528822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7124 (WV)
- Practice address
- 2203 National Rd
Wheeling, WV 26003-5203 - Phone
- (304) 243-0300
- Fax
- (304) 243-0328
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7124 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio County Board of Education | Past | Accepting new patients | |
| Ohio County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7124 | WV | Yes |
Addresses
Primary practice location
2203 National Rd
Wheeling, WV 26003-5203
Mailing address
2203 National Rd
Wheeling, WV 26003-5203
Phone (304) 243-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004177 | Medicaid | WV |
Other providers in Wheeling, WV
- Phuong Nguyen
- Sorin N Nica
- Christopher Cory Nicely
- Brittney Nicole Nichol
- Melinda Nicholes
- Dennis Richard Niess
- Moesha Marie Nightengale
- Senteria Eugenia Nightengale
- Edward Joseph Nolan III
- Jennifer Ruth Nolan
All providers in Wheeling, WV · Speech-Language Pathologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.