Nicole Paquette, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005881 Issued in VA

Practice address

955 Harpersville Rd
Newport News, VA 23601-1085

Phone

(757) 223-1600

NPI assigned

Nov 18, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Dynox

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1700153418
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1891023560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HARPERSVILLE RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HARPERSVILLE RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011085",
            "telephone_number": "757-223-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Executive Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662582",
            "country_code": "US",
            "telephone_number": "757-262-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "NICOLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSURE",
            "identifier": "2202005881",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaitali Panchal, MD
• Anthony Salvatore Panettiere Jr., M.D.
• Deanna E Pannell
• Samantha Carolin Pappalardo, COTA/L
• Steven Pappas
• Paragon Concierge Counseling LLC
• Parallel Behavior Services
• Paramount Counseling Inc
• Patrick R Parcells, MD
• Pamela Pare', ED.D, LPC, M&FT

• Speech-Language Pathologist in Newport News, VA
• Providers in Newport News, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.