Julie M Nickels, EDS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3443 Issued in TN

Practice address

6057 W Andrew Johnson Hwy Ste 4
Talbott, TN 37877-8676

Phone

(423) 586-9459

Fax

(423) 586-9549

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1487854527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RAYFORD CIR",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378614957",
            "telephone_number": "865-828-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 W ANDREW JOHNSON HWY STE 4",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778676",
            "telephone_number": "423-586-9459",
            "fax_number": "423-586-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "EDS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Dorthea Minton, CNA
• Paula Mae Montes, FNP
• Amanda M Monville
• Tania Ivet Morales Ramos
• Jennifer Helen Mullins, LPN
• Emily Litz Noe, CCC-SLP
• Michelle Leigh Orton
• Kimberly Rae Parks, O. D.
• Cecile Pinacate Passi
• Elisabeth Jane Pemberton, LCSW/MSSW

• Speech-Language Pathologist in Talbott, TN
• Providers in Talbott, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.