Active NPI
Molly O'Donnell Nicolai, SLP
- Speech-Language Pathologist
- Plymouth, MN
National Provider Identifier
1609206119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6071 Troy LN N
Plymouth, MN 55446-1013 - Phone
- (529) 797-4088
- NPI assigned
- Nov 19, 2013
- 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 | MN | Primary |
Addresses
Primary practice location
6071 Troy LN N
Plymouth, MN 55446-1013
Mailing address
6071 Troy LN N
Plymouth, MN 55446-1013
Phone (952) 797-4088
Other practice location 1
7231 Forestview Ln N
Maple Grove, MN 55369-5501
Phone (763) 315-6616
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech and Language Connections, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7231 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 315-6166
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Maple Grove, MN
- NPI 1750681706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1609206119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6071 TROY LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554461013",
"telephone_number": "952-797-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 TROY LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554461013",
"telephone_number": "529-797-4088"
}
],
"practiceLocations": [
{
"address_1": "7231 Forestview Ln N",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553695501",
"country_code": "US",
"telephone_number": "763-315-6616",
"fax_number": "763-315-8894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOLAI",
"first_name": "MOLLY",
"middle_name": "O'DONNELL",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.