Individual provider Active NPI

Ruslana Nikolaev, MA, CCC-SLP

  • Speech-Language Pathologist
  • Little Elm, TX
National Provider Identifier
1376782540
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116530 Issued in TX
Practice address
312 Willowmore Dr
Little Elm, TX 75068-2342
Phone
(347) 237-6492
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 116530 TX Primary
Speech-Language Pathologist 235Z00000X 018758 NY

Addresses

Primary practice location

312 Willowmore Dr
Little Elm, TX 75068-2342

Mailing address

312 Willowmore Dr
Little Elm, TX 75068-2342
Phone (347) 237-6492

Other practice location 1

1921 Bay Ave Apt 6L
Brooklyn, NY 11230-6259
Phone (347) 237-6492

Other names 1

  • Ruslana Khosid Agarunov Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
018758NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1376782540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WILLOWMORE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682342",
            "telephone_number": "347-237-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WILLOWMORE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682342",
            "telephone_number": "347-237-6492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Bay Ave Apt 6L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112306259",
            "country_code": "US",
            "telephone_number": "347-237-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOLAEV",
        "first_name": "RUSLANA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116530",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSLANA",
            "last_name": "KHOSID AGARUNOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.