Teresa Nicolia, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

436 Issued in AK

Practice address

2975 Max Loop
North Pole, AK 99705-7595

Phone

(814) 490-2081

NPI assigned

May 8, 2015

Last updated

May 8, 2015By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acca, Inc.

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1922212844
  NPD (past)

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1942688148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 MAX LOOP",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057595",
            "telephone_number": "814-490-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 MAX LOOP",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057595",
            "telephone_number": "814-490-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLIA",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moose's Tooth Children's Dentistry, LLC
• Peter Christian Mortenson, DDS
• Dererk Daniel Murray
• My Horizon, LLC
• Hajnalka Nemeth, PHARMD
• Tracy Norris
• North Pole Eyecare LLC
• North Pole Optical, Inc (North Pole Optical)
• North Pole Physical Therapy, Inc
• North Pole Prescription Laboratory Inc (Alaska Family Pharmacy)

• Speech-Language Pathologist in North Pole, AK
• Providers in North Pole, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.