Nicole Michelle Yates, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10890 Issued in FL

Practice address

11864 Crestridge Loop
Trinity, FL 34655-0018

Phone

(813) 944-9594

NPI assigned

Dec 24, 2009

Last updated

Aug 27, 2015By 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

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bayside Speech Therapy, Inc.

  dba Bayside Therapy Specialists

  • Clinic/Center
  • New Port Richey, FL
  • NPI 1578954962

  Speech-Language Pathologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1821327735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11864 CRESTRIDGE LOOP",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346550018",
            "telephone_number": "813-944-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11864 CRESTRIDGE LOOP",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346550018",
            "telephone_number": "813-944-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001700700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Workman Enterprises LLC
• Alene Jean Wright, M.D.
• Fan Wu, DO
• Ziran Yang, MD
• Trine Schmidt Yarlett
• Eaton I Yen, DO
• Jordan Young, M.D.
• Alisa Zagorodny, APRN, FNP-BC
• Leanne Curtin Zahn
• Zam HHS, LLC

• Speech-Language Pathologist in Trinity, FL
• Providers in Trinity, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.