Individual provider Active NPI

Nicole Elizabeth Vigilante, M.ED

  • Speech-Language Pathologist
  • Candler, NC
National Provider Identifier
1689128134
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1705224 Issued in NC
Practice address
54 Justice Ridge Ter Apt 1
Candler, NC 28715-8506
Phone
(215) 964-2580
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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 1705224 NC Primary

Addresses

Primary practice location

54 Justice Ridge Ter Apt 1
Candler, NC 28715-8506

Mailing address

54 Justice Ridge Ter Apt 1
Candler, NC 28715-8506
Phone (828) 670-8065

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 Education

State licenses

LicenseStateTypeSpecialty
1705224NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1689128134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 JUSTICE RIDGE TER APT 1",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158506",
            "telephone_number": "828-670-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 JUSTICE RIDGE TER APT 1",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158506",
            "telephone_number": "215-964-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGILANTE",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1705224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.