Tova Nissel, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114240 Issued in TX

Practice address

3000 Pegasus Park Dr Ste 1100
Dallas, TX 75247-6204

Phone

(469) 621-8500

NPI assigned

Aug 8, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1760119895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PEGASUS PARK DR STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PEGASUS PARK DR STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476204",
            "telephone_number": "469-621-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEL",
        "first_name": "TOVA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246810",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonissel@uplifteducation.org",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3000 Pegasus Park Dr Ste 1100",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752476204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Farhad Niroomand, M.D.
• Nirp Dallas-Fort Worth PLLC
• Muhammad Umer Nisar, MD
• Micah Nishigaki, MD
• Masako Nishio, MD
• Grace Leslie Tchamgoue Nitcheu
• Niti Randhawa,M.D., PA
• Desiree Nitka, LSW
• Nitla Surgical Associates PA
• Alejandra Nitsch

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.