Active NPI
Gabriele Sophie Nicolet, M.A., CCC-SLP
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1720360225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP000001
- Practice address
- 616 Aspen St NW
Washington, DC 20012-2648 - Phone
- (202) 306-0505
- Fax
- (202) 204-0562
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP000001 | DC | Primary |
| Speech-Language Pathologist | 235Z00000X | 2202005790 | VA | |
| Speech-Language Pathologist | 235Z00000X | 04491 | MD |
Addresses
Primary practice location
616 Aspen St NW
Washington, DC 20012-2648
Mailing address
616 Aspen St NW
Washington, DC 20012-2648
Phone (202) 306-0505
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04491 | MD | MD | Occupational Therapist |
| SLP000001 | DC | MD | Speech-Language Pathologist |
| 2202005790 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechkids, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Washington, DC
- NPI 1518249010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1720360225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 ASPEN ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122648",
"telephone_number": "202-306-0505",
"fax_number": "202-204-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 ASPEN ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122648",
"telephone_number": "202-306-0505",
"fax_number": "202-204-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLET",
"first_name": "GABRIELE",
"middle_name": "SOPHIE",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP000001",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005790",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "04491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.