Nicolle L. Larson, M.S.-C.C.C.-S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP585 Issued in MT

Practice address

1201 14TH St SW
Sidney, MT 59270-5409

Phone

(406) 489-1960

NPI assigned

Oct 9, 2007

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wilmac Special Education Unit

  • Local Education Agency (LEA)
  • Williston, ND
  • NPI 1225185457

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1952599458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 14TH ST SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592705409",
            "telephone_number": "406-489-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 14TH ST SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592705409",
            "telephone_number": "406-489-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34038 County Road 115",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MT",
            "postal_code": "592629425",
            "country_code": "US",
            "telephone_number": "406-798-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 University Ave",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "ND",
            "postal_code": "588015658",
            "country_code": "US",
            "telephone_number": "701-572-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "NICOLLE",
        "middle_name": "L.",
        "credential": "M.S.-C.C.C.-S.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SP585",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralf K Kiehl, MD
• Devon Kuhlmann, DO
• Hayley Kutzler
• Michael D Lapan, DPM
• Ryan Phillip Laqua, D.C.
• Tami Marie Larson, RN
• Gilbert Earl Lepel, PA-C
• Deborah Liechty, PHARMD
• Lincare Inc
• Marie F Logan, LCPC

• Speech-Language Pathologist in Sidney, MT
• Providers in Sidney, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.