Nicole Devoss, JD, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110521 Issued in TX

Practice address

9747 Broken Bow Rd
Dallas, TX 75238-2507

Phone

(214) 952-2684

NPI assigned

May 12, 2016

Sex

Female

Sole proprietor

Yes

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

Juris Doctor, Master of Science

State licenses

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 Communication Clubhouse

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1063972388
  NPD (past) Authorized official

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1386090918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9747 BROKEN BOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382507",
            "telephone_number": "214-952-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9747 BROKEN BOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382507",
            "telephone_number": "214-952-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOSS",
        "first_name": "NICOLE",
        "credential": "JD, MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Devlin, RN, AOCNP
• Samantha Devlin
• Ashley Devoll, DO
• Megan Mae Devore, CRNA
• Austin Cole Devoss, PT, DPT
• Devoted Assistance Inc.
• Jonathan Devries, D.O.
• William Devries, MD
• Robert Thomas Dewar
• Laura Deware-Jones

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.