Active NPI
Nicole Ballew
- Speech-Language Pathologist
- Asheville, NC
National Provider Identifier
1679369086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30004923
- Practice address
- 9 W Summit Ave
Asheville, NC 28803-0047 - Phone
- (828) 670-8056
- NPI assigned
- Apr 15, 2025
- Last updated
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30004923 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 2202012245 | VA |
Addresses
Primary practice location
9 W Summit Ave
Asheville, NC 28803-0047
Mailing address
9 W Summit Ave
Asheville, NC 28803-0047
Phone (828) 670-8056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30004923 | NC | MD | Speech-Language Pathologist |
| 2202012245 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Therapy, LLC | Current | Accepting new patients | |
| Carolina Rehabilitation Specialists, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Phone (757) 319-4142
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
-
dba Carolina Pediatric Therapy
- Speech-Language Pathologist
- Asheville, NC
- NPI 1053409367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1679369086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 W SUMMIT AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288030047",
"telephone_number": "828-670-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 W SUMMIT AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288030047",
"telephone_number": "828-670-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEW",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-15",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30004923",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.