Sydney Shi'Ann Nuckols, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SAH-2025-0175 Issued in NM

Practice address

501 S Abilene Ave
Portales, NM 88130-6380

Phone

(575) 356-7000

NPI assigned

Aug 7, 2025

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

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.

• Portales Municipal Schools

  • Local Education Agency (LEA)
  • Portales, NM
  • NPI 1912073909
  NPD (past)

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1780569087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ELM AVE",
            "city": "FRIONA",
            "state": "TX",
            "postal_code": "790351903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S ABILENE AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306380",
            "telephone_number": "575-356-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLS",
        "first_name": "SYDNEY",
        "middle_name": "SHI'ANN",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2025-0175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Mexico Em-I Medical Services, PC
• Jennifer Nielsen
• Lia Raquel Nora
• Kelley Norrell
• Genevieve Jordyn-Brooke Norris
• Janie Olguin
• Garrett Olson
• Fidelis Onoh
• Gerianne Dalynn Ontiveros, LMHC
• Lauren Elizabeth Ontiveros

• Speech-Language Pathologist in Portales, NM
• Providers in Portales, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.