Nicole M Raco, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

O1-0000857 Issued in DE

Practice address

200 Tyre Ave
Newark, DE 19711

Phone

(302) 454-2047

Fax

(302) 454-5442

NPI assigned

Sep 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 2

Addresses

Other identifiers 1

Other names 1

• Nicole M Raco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1902139215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TYRE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117136",
            "telephone_number": "302-454-2047",
            "fax_number": "302-454-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TYRE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-454-2047",
            "fax_number": "302-454-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACO",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0000857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025173",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RACO",
            "middle_name": "M",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Quinn, NURSE PRACTITIONER
• Apollonia Quiros, PA-C
• Rabia M Qureshi, MD
• Adam Raben, M.D.
• Bernard R. Racey, PA-C
• Michael Rada
• Radiation Oncologists PA
• Julia Radulski, CCC-SLP
• Allison Elizabeth Radwick, B.S., PH.D., R.PH.
• Ellen E Radziewicz, P.A.-C

• Speech-Language Pathologist in Newark, DE
• Providers in Newark, DE by specialty
• Speech-Language Pathologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.