Active NPI
Nicole Ann Gallo, M.S. CCC-SLP
- Speech-Language Pathologist
- Providence, RI
National Provider Identifier
1508939786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP00835
- Practice address
- 164 Summit Ave
Providence, RI 02906-2853 - Phone
- (401) 793-5080
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | SP00835 | RI | Primary |
Addresses
Primary practice location
164 Summit Ave
Providence, RI 02906-2853
Mailing address
77 Trellis Dr
West Warwick, RI 02893-2169
Phone (401) 524-5345
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP00835 | RI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508939786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 TRELLIS DR",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932169",
"telephone_number": "401-524-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "NICOLE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.