Nicole M Wineberg, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5581317 Issued in ID

Practice address

917 W Canfield Ave
Coeur D Alene, ID 83815-9764

Phone

(208) 762-3502

NPI assigned

Jun 13, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Periwinkle Children's Therapy

  • Contractor
  • Hayden, ID
  • NPI 1184972184
  NPD (past)
• Periwinkle Children's Therapy

  • Community/Behavioral Health Agency
  • Coeur d'Alene, ID
  • NPI 1598211856
  NPD (past)

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

{
    "created_epoch": "1781308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1649105644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E PINERIDGE CT APT 5B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087013",
            "telephone_number": "509-850-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-762-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEBERG",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "5581317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Wilson, DNP, APRN, FNP-C
• Elizabeth Wilson, M.A., CCC-SLP
• Heather L Wilson, LCPC
• Jeffrey David Wilson, D.O.
• Madison Taylor Wilson, NP
• Jordan Winegar, MD
• David K Wineinger, M.D.
• Sandra Lee Winterer, MSW, LCSW
• Lloyd E. Witham, M.D.
• Conrad Wittram, MBCHB

• Speech-Language Pathologist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.