Active NPI
Nicole Michelle Naucler, NICOLE NAUCLER
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1750341749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10939
- Practice address
- 11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413 - Phone
- (858) 673-5437
- Fax
- (858) 673-5434
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10939 | CA | Primary |
Addresses
Primary practice location
11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413
Mailing address
12686 Westly LN
San Diego, CA 92131-4204
Phone (858) 442-6270
Other names 1
- Miss Nicole Michelle Cooper
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation | Speech-Language Pathologist | Past | Accepting new patients |
| Hardy and Lukes Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba HealthPRO Pediatrics
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1356013650
-
dba HealthPRO Pediatrics
- Pediatric Physical Therapist
- San Diego, CA
- NPI 1598724577
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1750341749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12686 WESTLY LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921314204",
"telephone_number": "858-442-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11838 BERNARDO PLAZA CT",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282413",
"telephone_number": "858-673-5437",
"fax_number": "858-673-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUCLER",
"first_name": "NICOLE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "NICOLE NAUCLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "10939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "COOPER",
"middle_name": "MICHELLE",
"prefix": "MISS",
"credential": "M.A., CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.