Jodie Nichols

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP14687 Issued in AZ

Practice address

6885 N Oracle Rd, Unit F
Tucson, AZ 85704-4222

Phone

(208) 660-9149

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1851933717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 W WHISPERING WINDMILL LN",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584223",
            "telephone_number": "208-660-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 N ORACLE RD, UNIT F",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044222",
            "telephone_number": "208-660-9149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 W Whispering Windmill Ln",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856584223",
            "country_code": "US",
            "telephone_number": "208-660-9149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JODIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61213471",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP14687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley G Nichols, MD
• Brooke Nichols
• Carrie Susan Nichols
• Gregory M Nichols, MD
• Jacki Nichols, SA-C
• Kathleen Bornais Nichols, P.T.
• Kathleen P Nichols, MD
• Linnea Nichols
• Mark A Nichols, MD
• Mark Alan Nichols, M.ED., MAC, NCC, LPC

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.