Individual provider Active NPI

Taylor Nicholson

  • Speech-Language Pathologist
  • Brighton, MI
National Provider Identifier
1619696556
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202012679 Issued in VA
Practice address
7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Phone
(248) 302-8303
NPI assigned
Aug 24, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101008053 MI
Speech-Language Pathologist 235Z00000X 2202012679 VA Primary

Addresses

Primary practice location

7030 Whitmore Lake Rd
Brighton, MI 48116-8533

Mailing address

7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Phone (248) 302-8303

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oxfordrecoverycenter.com

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

State licenses

LicenseStateTypeSpecialty
7101008053MIMDSpeech-Language Pathologist
2202012679VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1619696556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168533",
            "telephone_number": "248-302-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168533",
            "telephone_number": "248-302-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008053",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oxfordrecoverycenter.com",
            "affiliation": "N",
            "address_1": "7030 Whitmore Lake Rd",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481168533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.