Active NPI
Nicola Nichols
- Speech-Language Pathologist
- Chandler, AZ
National Provider Identifier
1952092215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP14437
- Practice address
- 3160 N Arizona Ave Ste 105
Chandler, AZ 85225-7122 - Phone
- (480) 347-8938
- NPI assigned
- May 17, 2023
- Last updated
- Oct 23, 2023
- 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 | TSLP14437 | AZ | Primary |
Addresses
Primary practice location
3160 N Arizona Ave Ste 105
Chandler, AZ 85225-7122
Mailing address
1790 W Browning Way
Chandler, AZ 85286-0913
Phone (520) 975-8123
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 |
|---|---|---|---|
| TSLP14437 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridge Zeller Therapy, LLC | Speech-Language Assistant | Current | Accepting new patients |
Locations
3160 N Arizona Ave
Ste 105
Chandler, AZ 85225
Phone (480) 347-8938
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Chandler, AZ
- NPI 1285874099
Speech-Language Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1952092215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 W BROWNING WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852860913",
"telephone_number": "520-975-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 N ARIZONA AVE STE 105",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257122",
"telephone_number": "480-347-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "NICOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP14437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.