Individual provider Active NPI

Nichole Amber Boyer, M. A., CCC-SLP

  • Speech-Language Pathologist
  • Ocala, FL
National Provider Identifier
1861610784
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5967 Issued in FL
Practice address
2760 SE 17TH St
Suite 301
Ocala, FL 34471-5571
Phone
(352) 817-6958
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SA5967 FL Primary

Addresses

Primary practice location

2760 SE 17TH St
Suite 301
Ocala, FL 34471-5571

Mailing address

1510 SE 14TH Ave
Ocala, FL 34471-4531
Phone (352) 351-5560

Other identifiers 1

IdentifierTypeStateIssuer
S2281OtherFLBC-BS PROV. #

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA5967FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Vineyard Speech, Language & Reading SVS., Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861610784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SE 14TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714531",
            "telephone_number": "352-351-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SE 17TH ST",
            "address_2": "SUITE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715571",
            "telephone_number": "352-817-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "NICHOLE",
        "middle_name": "AMBER",
        "credential": "M. A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROV. #",
            "identifier": "S2281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.