Individual provider Active NPI

Nicole Renee Owens, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Wexford, PA
National Provider Identifier
1609120377
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009884 Issued in PA
Practice address
194 Swinderman Rd
Wexford, PA 15090-8613
Phone
(724) 935-3781
Fax
(724) 935-0190
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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 SL009884 PA Primary

Addresses

Primary practice location

194 Swinderman Rd
Wexford, PA 15090-8613

Mailing address

194 Swinderman Rd
Wexford, PA 15090-8613
Phone (724) 352-9445

Other practice location 1

223 Pittsburgh St
Saxonburg, PA 16056-2217
Phone (724) 352-9445 ext. 235

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 Science

State licenses

LicenseStateTypeSpecialty
SL009884PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1609120377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 SWINDERMAN RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908613",
            "telephone_number": "724-352-9445",
            "fax_number": "724-352-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SWINDERMAN RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908613",
            "telephone_number": "724-935-3781",
            "fax_number": "724-935-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Pittsburgh St",
            "address_purpose": "LOCATION",
            "city": "Saxonburg",
            "state": "PA",
            "postal_code": "160562217",
            "country_code": "US",
            "telephone_number": "724-352-9445 x235",
            "fax_number": "724-352-9061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.