Nicole Lynn Kress-Scheidmantel, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1029 Issued in WV

Practice address

110 Mordington Ave
Charles Town, WV 25414-1693

Phone

(304) 725-9741

NPI assigned

Oct 29, 2007

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

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 and National Provider Directory roles.

• Jefferson County Schools

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1639367402
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1841479706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 ARBOR SHADE DR",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254284366",
            "telephone_number": "304-229-6694",
            "fax_number": "304-229-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141693",
            "telephone_number": "304-725-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESS-SCHEIDMANTEL",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00-12254000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigitte Kobenan
• Kouadio Kobenan
• Elizabeth Ann Koski, OD
• Cecelia K Kpor, HEALTH CARE MANAGER
• Kathryn Kramer
• Elizabeth Neille Kronthal, LPTA
• Marilyn Lai Fang, RN
• Katrina R Lanham, RN
• Mandy Lee
• Virginia Legg

• Speech-Language Pathologist in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.