Nicole K Gregg, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18193 Issued in CA

Practice address

3000 Alamo Dr Ste 209
Vacaville, CA 95687-6352

Phone

(707) 372-5686

NPI assigned

Nov 15, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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

• The Speech Academy, Inc.

  • Speech-Language Pathologist
  • Vacaville, CA
  • NPI 1235680851
  NPD (past) Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1356883714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 PARK LN",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876673",
            "telephone_number": "707-372-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 209",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876352",
            "telephone_number": "707-372-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "NICOLE",
        "middle_name": "K",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarey Shannon Graves-Wright
• Andrea Michelle Graves, PSY.D.
• Tanya M. Greenfield, PSY.D.
• Anjalee Greenwood, PSY.D., BCBA
• Tiffany Anne Greer, LCSW
• Paula Ann Gregg, PH.D.
• Kathryn Leigh Gregory, BT
• Darla Joan Gress, RN
• Navjot Kaur Grewal
• Chase Austin Grider-Munson

• Speech-Language Pathologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.