Organization Active NPI

Expressive Edge LLC

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1528990751
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EXPRESSIVE EDGE LLC
Practice address
10670 S Maryland Pkwy Ste 135
Henderson, NV 89052-8713
Phone
(323) 646-4843
Fax
(702) 442-1886
NPI assigned
Jun 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Mrs. Nicole Niel McCorriston, CCC-SLPNPI 1275393555
Title
Speech Language Pathologist
Phone
(323) 646-4843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

10670 S Maryland Pkwy Ste 135
Henderson, NV 89052-8713

Mailing address

10670 S Maryland Pkwy Ste 135
Henderson, NV 89052-8713
Phone (323) 646-4843

National Provider Directory

National Provider Directory

Locations

10670 S Maryland Pkwy
Ste 135
Henderson, NV 89052
Phone (323) 646-4843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1528990751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 S MARYLAND PKWY STE 135",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528713",
            "telephone_number": "323-646-4843",
            "fax_number": "702-442-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 S MARYLAND PKWY STE 135",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528713",
            "telephone_number": "323-646-4843",
            "fax_number": "702-442-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIVE EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MCCORRISTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "NIEL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "323-646-4843",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.