Kimberly Anne Nicholson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3523 Issued in TN

Practice address

3305 W End Ave
Nashville, TN 37203-1035

Phone

(615) 386-4900

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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.

• Intelligent Therapy Staffing

  • Skilled Nursing Facility
  • Nashville, TN
  • NPI 1578684940

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710074224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HILLSIDE DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371725164",
            "telephone_number": "615-384-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031035",
            "telephone_number": "615-386-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy G Nicholson, M.A.
• Brooke Nicholson
• Caitlin Nicholson, MD
• Flannery Shanklin Nicholson, MSN, AGACNP-BC, RN
• George Thomas Nicholson, M.D.
• Maribeth Ruth Nicholson, M.D.
• Zachary James Nicholson, DDS, MD
• Nick Cutler Adolescents & Family Therapy, LLC
• Sydnie Elizabeth Nickell, FNP-C
• William Scott Nickels, DDS PC

• Speech-Language Pathologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.