Individual provider Active NPI

Nicole Drummond, SLP

  • Speech-Language Pathologist
  • Weston, WV
National Provider Identifier
1942984356
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2414 Issued in WV
Practice address
150 John St Ste C
Weston, WV 26452-2270
Phone
(304) 517-1560
Fax
(304) 599-7800
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2414 WV Primary

Addresses

Primary practice location

150 John St Ste C
Weston, WV 26452-2270

Mailing address

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748
Phone (304) 599-1500

Other names 1

  • Nicole Crissman Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2414WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services, LLC Speech-Language Pathologist CurrentSince Dec 5, 2023 Accepting new patients

Locations

37 Grande Meadows Dr
Ste 102
Bridgeport, WV 26330
Phone (304) 592-2009

6000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-1500

150 John St
Ste B
Weston, WV 26452
Phone (304) 517-1560

150 John St
Ste C
Weston, WV 26452
Phone (304) 517-1560

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1942984356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-1500",
            "fax_number": "304-599-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JOHN ST STE C",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522270",
            "telephone_number": "304-517-1560",
            "fax_number": "304-599-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CRISSMAN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.