Active NPI
Nicole Dawn Lopez, M.A., CCC-SLP
- Speech-Language Pathologist
- Laguna Hills, CA
National Provider Identifier
1568865350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 20038
- Practice address
- 25902 White Alder LN
Laguna Hills, CA 92653-5420 - Phone
- (949) 302-1429
- NPI assigned
- Oct 7, 2014
- 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 | SP 20038 | CA | Primary |
Addresses
Primary practice location
25902 White Alder LN
Laguna Hills, CA 92653-5420
Mailing address
25902 White Alder LN
Laguna Hills, CA 92653-5420
Phone (949) 302-1429
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 20038 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1568865350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25902 WHITE ALDER LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535420",
"telephone_number": "949-302-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25902 WHITE ALDER LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535420",
"telephone_number": "949-302-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "NICOLE",
"middle_name": "DAWN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 20038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.