Cynthia D Nichols, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2325 Issued in MD

Practice address

12337 Pans Spring CT
Ellicott City, MD 21042-1338

Phone

(443) 286-8397

Fax

(443) 535-0610

NPI assigned

Jun 1, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Marine Information Resources Corporation

  • Speech-Language Pathologist
  • Ellicott City, MD
  • NPI 1578034906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1740416148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12337 PANS SPRING CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421338",
            "telephone_number": "443-286-8397",
            "fax_number": "443-535-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 PANS SPRING CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421338",
            "telephone_number": "443-286-8397",
            "fax_number": "443-535-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danh Nguyen, APRN
• Emily Nguyen
• Thuy VI Nguyen, MD
• Nic Jorge Dental, LLC
• Erika L Nichelson, DO
• Samantha Lee Nichols
• Nicole Mason Nutrition, LLC
• Jean-Luc Gaston Niel, DMD
• Ifeyinwa Nnoli
• Wesley Nolan

• Speech-Language Pathologist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.