Active NPI
Hannah Marie Nicolas, SLP-CCC
- Speech-Language Pathologist
- Pennsburg, PA
National Provider Identifier
1508391004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1009 Creekview Dr
Pennsburg, PA 18073-1254 - Phone
- (267) 566-6546
- NPI assigned
- Apr 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1009 Creekview Dr
Pennsburg, PA 18073-1254
Mailing address
1009 Creekview Dr
Pennsburg, PA 18073-1254
Phone (267) 566-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492819200000",
"number": "1508391004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 CREEKVIEW DR",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731254",
"telephone_number": "267-566-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 CREEKVIEW DR",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731254",
"telephone_number": "267-566-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "HANNAH",
"middle_name": "MARIE",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-22",
"last_updated": "2017-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.