Nicole Rose Ianni, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

032290 Issued in NY

Practice address

225 Richmond Hill Rd
Staten Island, NY 10314-5904

Phone

(718) 979-5678

NPI assigned

Jun 6, 2023

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

Practice roles

Locations

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.

• The Sensory Studio SLP OT PLLC

  • Rehabilitation Clinic/Center
  • Staten Island, NY
  • NPI 1588027692
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1750075321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BROOKSIDE LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RICHMOND HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145904",
            "telephone_number": "718-979-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNI",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhanya T Iadarola, NYSED B-2 LICENCE
• Julia Iadarola
• Michael J Iadarola, RN
• Cassandra L Iadicicco
• Laurene Tricia Iammatteo, D.C.
• Taylor Marie Iannicelli, PA-C
• Louis Nicholas Iannuzzi, PT
• Benedette Eyiuche Ibenegbu, NURSE PRACTITIONER
• John Ibiam, LCSW
• Aneesa Ible, LCSW

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.