Active NPI
Nicole Winters, CCC-SLP
- Speech-Language Pathologist
- Massapequa, NY
National Provider Identifier
1417323502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 58 024979
- Practice address
- 7 Manchester Dr
Massapequa, NY 11758-1019 - Phone
- (516) 972-0684
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 58 024979 | NY | Primary |
Addresses
Primary practice location
7 Manchester Dr
Massapequa, NY 11758-1019
Mailing address
7 Manchester Dr
Massapequa, NY 11758-1019
Phone (516) 972-0684
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58 024979 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1417323502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MANCHESTER DR",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581019",
"telephone_number": "516-972-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MANCHESTER DR",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581019",
"telephone_number": "516-972-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "NICOLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58 024979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
- Antoinette Williams, LMSW
- Brooke Williams, LMHC
- Carolyn Ann Williams, RPH
- Emily Lynn Willms
- Wendy Ann Wilson, C.S.W.
- Winthrop Community Medical Affiliates, P.C. (Anzalone Internal Medicine)
- Winthrop Community Medical Affiliates, P.C. (Winthrop Community Urology)
- Winthrop Community Medical Affiliates, P.C. (Advanced Neurological Services of Long Island)
- Loriann Brannigan Wisniewski, MSCCCSLP
- Jeffrey Witherspoon, CASAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.