Individual provider Active NPI

Faith Briann Nicolas

  • Speech-Language Pathologist
  • Deer Park, TX
National Provider Identifier
1487307583
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
122474 Issued in TX
Practice address
2800 Texas Ave
Deer Park, TX 77536-4797
Phone
(832) 668-7000
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 122474 TX Primary

Addresses

Primary practice location

2800 Texas Ave
Deer Park, TX 77536-4797

Mailing address

5624 Evanston LN
Pasadena, TX 77505-1106
Phone (830) 255-1885

Other practice location 1

5010 W Pasadena Blvd
Deer Park, TX 77536-5706
Phone (832) 668-7700

Other practice location 2

4911 Holly Bay Ct
Pasadena, TX 77505-6411
Phone (832) 668-7800

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

LicenseStateTypeSpecialty
122474TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1487307583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 EVANSTON LN",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051106",
            "telephone_number": "830-255-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TEXAS AVE",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364797",
            "telephone_number": "832-668-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 W Pasadena Blvd",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "TX",
            "postal_code": "775365706",
            "country_code": "US",
            "telephone_number": "832-668-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4911 Holly Bay Ct",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775056411",
            "country_code": "US",
            "telephone_number": "832-668-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "FAITH",
        "middle_name": "BRIANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.