Individual provider Active NPI

Nicole Tomitz, SLP

  • Speech-Language Pathologist
  • Reno, NV
National Provider Identifier
1578029260
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-3444 Issued in NV
Practice address
1664 N Virginia St
Reno, NV 89503-0705
Phone
(775) 982-1000
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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-3444 NV Primary

Addresses

Primary practice location

1664 N Virginia St
Reno, NV 89503-0705

Mailing address

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-5262

Other names 1

  • Miss Nicole Knight Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103002915 NV Practitioner - Qualified Speech Language Pathologist 0042667610

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-3444NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Dec 5, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Current Accepting new patients
Community Care Services LLC CurrentSince Dec 5, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Speech-Language Pathologist CurrentSince Sep 23, 2023 Accepting new patients

Locations

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1664 N Virginia St
Reno, NV 89503
Phone (775) 982-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1578029260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895030705",
            "telephone_number": "775-982-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMITZ",
        "first_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KNIGHT",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.