Nichols Speech Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NICHOLS SPEECH PATHOLOGY

Practice address

3875 Buckthorne Dr Unit D
Orange Park, FL 32065-5674

Phone

(914) 837-0776

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tasiana NicholsNPI 1396958021

Title

Owner

Phone

(914) 837-0776

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tasiana Nichols

  • Speech-Language Pathologist
  • Monsey, NY
  • NPI 1396958021
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1376113688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 BUCKTHORNE DR UNIT D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655674",
            "telephone_number": "914-837-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 BUCKTHORNE DR UNIT D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655674",
            "telephone_number": "914-837-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS SPEECH PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "TASIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-837-0776"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anelaciti Nguyen
• Sophie Phuong-Linh Nguyen
• Thuydy N Nguyen, MS, LMFT
• Nicholas a Herrero MD PLLC
• Charissa Nicholls, RDN
• Kiersten Nielsen, DO
• Nightingale Behavioral and Counseling Services
• Jade Marie Nimmo
• Megan Danielle Nix, M.A, BCBA
• Jessica P Nixon

• Speech-Language Pathologist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.