Individual provider Active NPI

Nicole Meza, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Temecula, CA
National Provider Identifier
1851775522
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
23961 Issued in CA
Practice address
41769 Enterprise Cir N Ste 104&105
Temecula, CA 92590-5626
Phone
(951) 303-8255
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 23961 CA Primary

Addresses

Primary practice location

41769 Enterprise Cir N Ste 104&105
Temecula, CA 92590-5626

Mailing address

8975 Lawrence Welk Dr SPC 361
Escondido, CA 92026-6421
Phone (760) 481-4039

Other practice location 1

25102 Jefferson Ave
Suite D
Murrieta, CA 92562-1707
Phone (951) 461-1190

Other names 1

  • Nicole Friend Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
23961CAMDClinical Social Worker
13911NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Speech and Reading Center Speech-Language Pathologist PastSince Jan 27, 2020 Accepting new patients
Lucid Speech & Language Speech-Language Pathologist Past Accepting new patients
Lucid Speech and Language Clinic, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1851775522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8975 LAWRENCE WELK DR SPC 361",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920266421",
            "telephone_number": "760-481-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N STE 104&105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25102 Jefferson Ave",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925621707",
            "country_code": "US",
            "telephone_number": "951-461-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZA",
        "first_name": "NICOLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FRIEND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.