Individual provider Active NPI

Nicole Seymour, MS CCC-SLP

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1427759299
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.15685 Issued in OH
Practice address
14077 Cedar Rd Ste Ll6A&C
Cleveland, OH 44118-3338
Phone
(216) 262-4737
Fax
(309) 423-4813
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.15685 OH Primary

Addresses

Primary practice location

14077 Cedar Rd Ste Ll6A&C
Cleveland, OH 44118-3338

Mailing address

5247 Wilson Mills Rd # 126
Richmond HTS, OH 44143-3016
Phone (216) 223-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000101 CA Practitioner - Qualified Speech Language Pathologist 8820502339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP.15685OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Flowers Speech and Language Therapy Center Profession Speech-Language Pathologist CurrentSince Apr 22, 2025 Accepting new patients
Advanced Therapy Solutions LTD CurrentSince Mar 24, 2024 Accepting new patients

Locations

3280 Motor Ave
Ste 250
Los Angeles, CA 90034
Phone (216) 600-6963

320 Wilshire Blvd
Ste 100
Santa Monica, CA 90401
Phone (216) 600-6963

14077 Cedar Rd
Ste LL6AC
Cleveland, OH 44118
Phone (216) 223-8761

5247 Wilson Mills Rd
Richmond Heights, OH 44143
Phone (216) 223-8761

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1427759299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 WILSON MILLS RD # 126",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441433016",
            "telephone_number": "216-223-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14077 CEDAR RD STE LL6A&C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441183338",
            "telephone_number": "216-262-4737",
            "fax_number": "309-423-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "NICOLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.