Active NPI
Carrie Nickel
- Speech-Language Pathologist
- Plymouth, WI
National Provider Identifier
1760312276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12076631
- Practice address
- 125 S Highland Ave
Plymouth, WI 53073-2566 - Phone
- (920) 892-2661
- NPI assigned
- May 19, 2026
- Last updated
- May 19, 2026
- Sex
- Unspecified or another gender identity
- 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 | 12076631 | WI | Primary |
Addresses
Primary practice location
125 S Highland Ave
Plymouth, WI 53073-2566
Mailing address
125 S Highland Ave
Plymouth, WI 53073-2566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12076631 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1760312276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S HIGHLAND AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S HIGHLAND AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732566",
"telephone_number": "920-892-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKEL",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "12076631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, WI
- Anne Marie Nelson, RN
- Judith A Nelson, R.N.
- Rachel M Nelson, LCSW, CSAC
- Juliane R Nevers, PA-C
- Next Chapter Behavioral Health & Wellness LLC
- Dawn Niedfeldt, LMT
- Julia K Niver, MS, CADC III
- Northern Wisconsin Geriatric Psychological Services, SC
- Northland Hearing Centers, Inc. (Pickart Hearing Services, LLC.)
- NSH Plymouth LLC (Plymouth Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.