Nicole Altherr, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46003034A Issued in IN

Practice address

5601 Coventry Lane
Fort Wayne, IN 46804-5435

Phone

(260) 459-6040

NPI assigned

Aug 22, 2016

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

Other names 1

• Nicole Louden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Children'S Autism Center, Inc

  • Developmental Disabilities Clinic/Center
  • Fort Wayne, IN
  • NPI 1215105663

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1427503242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10236 UNITA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046900",
            "telephone_number": "260-437-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 COVENTRY LANE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045435",
            "telephone_number": "260-459-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTHERR",
        "first_name": "NICOLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003034A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LOUDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jon Robert Alter, D,C.
• Stephen A Alter, D.C.
• Alternative Accessibility Lifts
• Alterntaive Youth Services, Inc. (ResCare Youth Services)
• Nicholas Altherr, DC
• Sarah Stacey Altizer, LCSW
• Sandra Altman, P.T.
• Kalyan C.C. Aluri, M.D.
• Praveena Aluri, DMD
• Isabel Alvarado

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.