Active NPI
Nicole Donnelly, MA CCC-SLP
- Speech-Language Pathologist
- Ellsworth, ME
National Provider Identifier
1912814492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3411
- Practice address
- 24 Lejok St
Ellsworth, ME 04605-4767 - Phone
- (207) 667-4722
- NPI assigned
- Aug 27, 2026
- 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 | SP3411 | ME | Primary |
Addresses
Primary practice location
24 Lejok St
Ellsworth, ME 04605-4767
Mailing address
36 Century St
Brewer, ME 04412-2432
Phone (931) 302-5432
Other practice location 1
20 Forrest Ave
Ellsworth, ME 04605-1814
Phone (207) 667-6241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1912814492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CENTURY ST",
"city": "BREWER",
"state": "ME",
"postal_code": "044122432",
"telephone_number": "931-302-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 LEJOK ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046054767",
"telephone_number": "207-667-4722"
}
],
"practiceLocations": [
{
"address_1": "20 Forrest Ave",
"address_purpose": "LOCATION",
"city": "Ellsworth",
"state": "ME",
"postal_code": "046051814",
"country_code": "US",
"telephone_number": "207-667-6241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "NICOLE",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP3411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.