Nicole Reanne Davis, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LICC-3238 Issued in MN

Practice address

4524 Lannon Ave NE
Saint Michael, MN 55376-4612

Phone

(970) 596-7977

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1811800733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 LANNON AVE NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553764612",
            "telephone_number": "970-596-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 LANNON AVE NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553764612",
            "telephone_number": "970-596-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "REANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "LICC-3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cpap of Minnesota
• Sophia Cruz
• Kaylee Rae Curtis
• Khadra Abdinasir Dadow
• Emily Allison Danielson, PA-C
• Jesus De la Paz Rodriguez
• Connie NA Debrah-Nierengraten
• Sarah Anne Decker, LMFT
• Allison Rae Delaney, SLP
• Breanna Jalese Delphie

• Speech-Language Pathologist in Saint Michael, MN
• Providers in Saint Michael, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.