Active NPI
Nicole Ashley Constable, CCC-SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1568075851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 350 Linwood St
Brooklyn, NY 11208-2116 - Phone
- (718) 647-1301
- NPI assigned
- Aug 26, 2020
- Last updated
- Oct 3, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
350 Linwood St
Brooklyn, NY 11208-2116
Mailing address
350 Linwood St RM 177B
Brooklyn, NY 11208-2116
Phone (718) 647-1301
Other practice location 1
1560 Mayflower Ave
Bronx, NY 10461-5400
Phone (718) 948-1900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1568075851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LINWOOD ST RM 177B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082116",
"telephone_number": "718-647-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LINWOOD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082116",
"telephone_number": "718-647-1301"
}
],
"practiceLocations": [
{
"address_1": "1560 Mayflower Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104615400",
"country_code": "US",
"telephone_number": "718-948-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONSTABLE",
"first_name": "NICOLE",
"middle_name": "ASHLEY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.