Gabrielle Elizabeth Nicolais, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10826 Issued in FL

Practice address

2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971-1569

Phone

(239) 369-3333

Fax

(239) 369-4837

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8796/brand/1/csg/1/fhir/r4

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.

• Lehigh Pulmonary Associates, Inc

  • Pulmonary Disease Physician
  • Fort Myers, FL
  • NPI 1255006375
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1881938827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "NORTH FT MYERS",
            "state": "FL",
            "postal_code": "339183445",
            "telephone_number": "239-369-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 LEE BLVD",
            "address_2": "SUITE 100",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711569",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAIS",
        "first_name": "GABRIELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Support Coordination Services, LLC
• Keshaundriel Lennise Newbold
• Benney Huy Nguyen
• Linda T Nguyen
• Michael Nguyen, PHARMD
• Roberto Jesus Nieto Silva
• Norma Marisol Nieto
• Nightingale Wellness Care Services, LLC
• Ninie Speciality Services LLC
• Angelica Maria Noa Ruiz

• Speech-Language Pathologist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.