Active NPI
Nicole Christine Ross, M.A. CF-SLP
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1871865402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ5697
- Practice address
- 6150 Diamond Centre CT
Suite 203
Fort Myers, FL 33912-4365 - Phone
- (239) 482-3154
- NPI assigned
- Jan 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ5697 | FL | Primary |
Addresses
Primary practice location
6150 Diamond Centre CT
Suite 203
Fort Myers, FL 33912-4365
Mailing address
1420 Reynard Dr
Fort Myers, FL 33919-2206
Phone (734) 756-8279
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ5697 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1871865402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 REYNARD DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339192206",
"telephone_number": "734-756-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 DIAMOND CENTRE CT",
"address_2": "SUITE 203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124365",
"telephone_number": "239-482-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "NICOLE",
"middle_name": "CHRISTINE",
"credential": "M.A. CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ5697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.