Individual provider Active NPI

Tiffany Nicholson, MA CCC-SLP

  • Speech-Language Pathologist
  • Tallmadge, OH
National Provider Identifier
1568374700
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.11911 Issued in OH
Practice address
184 Crimson TRL
Tallmadge, OH 44278-2065
Phone
(330) 389-2391
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.11911 OH Primary

Addresses

Primary practice location

184 Crimson TRL
Tallmadge, OH 44278-2065

Mailing address

184 Crimson TRL
Tallmadge, OH 44278-2065
Phone (330) 389-2391

Other practice location 1

6847 N Chestnut St
Ravenna, OH 44266-3929
Phone (330) 397-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1568374700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CRIMSON TRL",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782065",
            "telephone_number": "330-389-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CRIMSON TRL",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782065",
            "telephone_number": "330-389-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6847 N Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442663929",
            "country_code": "US",
            "telephone_number": "330-397-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TIFFANY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.