Nicole Brorsen Driggs, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2659 Issued in ME

Practice address

764 US Route 1 Ste 4
York, ME 03909-5906

Phone

(207) 351-3078

NPI assigned

Jun 16, 2008

Last updated

Mar 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wiggle Worms Pediatric Physical Therapy, LLC

  • Speech-Language Pathologist
  • York, ME
  • NPI 1063962116
  NPD (past)
• Wiggle Worms Pediatric Physical Therapy, LLC

  • Physical Therapist
  • York, ME
  • NPI 1922173855
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821258476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHESTNUT LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437179",
            "telephone_number": "207-502-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 US ROUTE 1 STE 4",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095906",
            "telephone_number": "207-351-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Hotevilla Trl",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860019556",
            "country_code": "US",
            "telephone_number": "928-213-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIGGS",
        "first_name": "NICOLE",
        "middle_name": "BRORSEN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF AZ DEPT. OF HEALTH,",
            "identifier": "TSLP-5878",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Dodge, PA
• Andrew Doherty
• Danielle E Doherty, LMT
• Jian Wilson Dong
• Matthew J Donovan, MD
• Lana Dufour-Kosacz, OT
• Sharon Dunnigan
• Valerie Dupill
• Heather Eastman, PT, DPT
• Eastwest Neurology, LLC

• Speech-Language Pathologist in York, ME
• Providers in York, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.