Nicole Pickett, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1764 Issued in AL

Practice address

3964 Florida Ave
Jay, FL 32565-1104

Phone

(850) 741-6715

Fax

(850) 204-0489

NPI assigned

Mar 2, 2008

Last updated

Jul 21, 2022By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376713743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E BOBE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033962",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 FLORIDA AVE",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651104",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 E Bobe St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325033962",
            "country_code": "US",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panhandle Rural Health Incorporated (Jay Medical Clinic)
• Alaina Smith Paul, DNP, APRN, FNP-C
• Jennifer S Paulley
• Savannah Payne
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Mary Louise Poley, LMHC INTERN
• Janet Elaine Pospiech
• Lauren Reeves
• Kelly Turman Robbins
• Tyler Dewayne Roley

• Speech-Language Pathologist in Jay, FL
• Providers in Jay, 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 Jul 21, 2022; 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.