Active NPI
Yvette Nicholson, SLP
- Speech-Language Pathologist
- Loveville, MD
National Provider Identifier
1912286451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08924
- Practice address
- 27180 Point Lookout Rd
Loveville, MD 20656-2013 - Phone
- (301) 475-0260
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 08924 | MD | Primary |
Addresses
Primary practice location
27180 Point Lookout Rd
Loveville, MD 20656-2013
Mailing address
23169 Mountain Laurel LN
California, MD 20619-7155
Other practice location 1
2802 Crestridge Ct
Grapevine, TX 76051-6461
Phone (214) 929-8405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08924 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Needs LLC | 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.
-
- Physical Therapist
- Grapevine, TX
- NPI 1497921118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1912286451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23169 MOUNTAIN LAUREL LN",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206197155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27180 POINT LOOKOUT RD",
"city": "LOVEVILLE",
"state": "MD",
"postal_code": "206562013",
"telephone_number": "301-475-0260"
}
],
"practiceLocations": [
{
"address_1": "2802 Crestridge Ct",
"address_purpose": "LOCATION",
"city": "Grapevine",
"state": "TX",
"postal_code": "760516461",
"country_code": "US",
"telephone_number": "214-929-8405",
"fax_number": "425-944-8495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "YVETTE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.