Individual provider Active NPI

Nicole Anna Senkiw, M.A., CF-SLP

  • Speech-Language Pathologist
  • Covington, KY
National Provider Identifier
1447822267
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
272267 Issued in KY
Practice address
4250 Glenn Ave
Covington, KY 41015-1641
Phone
(859) 431-2244
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PENDING KY
Speech-Language Pathologist 235Z00000X 272267 KY Primary

Addresses

Primary practice location

4250 Glenn Ave
Covington, KY 41015-1641

Mailing address

525 Greenup St
Covington, KY 41011-2569
Phone (937) 689-5292

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL UNKNOWN

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
PENDINGKYMDOptometrist
272267KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1447822267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 GREENUP ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112569",
            "telephone_number": "937-689-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 GLENN AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151641",
            "telephone_number": "859-431-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENKIW",
        "first_name": "NICOLE",
        "middle_name": "ANNA",
        "credential": "M.A., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "272267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UNKNOWN",
            "affiliation": "N",
            "address_1": "4250 Glenn Ave",
            "city": "Covington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410151641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.