Individual provider Active NPI

Nicole Raso, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hammonton, NJ
National Provider Identifier
1720525645
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
650 Pleasant Mills Rd
Hammonton, NJ 08037-8935
Phone
(609) 742-7664
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 Primary

Addresses

Primary practice location

650 Pleasant Mills Rd
Hammonton, NJ 08037-8935

Mailing address

650 Pleasant Mills Rd
Hammonton, NJ 08037-8935
Phone (609) 742-7664

Other practice location 1

897 12th St Unit 101
Hammonton, NJ 08037-1363
Phone (609) 878-0892

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Barn LLC Speech-Language Pathologist CurrentSince Oct 16, 2022 Accepting new patients

Locations

897 12th St
Unit 1
Hammonton, NJ 08037

897 12th St
Unit 101
Hammonton, NJ 08037
Phone (609) 878-0892

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.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1720525645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PLEASANT MILLS RD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080378935",
            "telephone_number": "609-742-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PLEASANT MILLS RD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080378935",
            "telephone_number": "609-742-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "897 12th St Unit 101",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080371363",
            "country_code": "US",
            "telephone_number": "609-878-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASO",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.