Individual provider Active NPI

Nicole Elizabeth Ammons, MS, CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1952827727
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10765 Issued in MD
Practice address
1014 W 36TH St # 665
Baltimore, MD 21211-2415
Phone
(667) 408-2095
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22007026A IN
Speech-Language Pathologist 235Z00000X LL61195832 WA
Speech-Language Pathologist 235Z00000X 10765 MD Primary

Addresses

Primary practice location

1014 W 36TH St # 665
Baltimore, MD 21211-2415

Mailing address

1014 W 36TH St # 665
Baltimore, MD 21211-2415
Phone (667) 408-2095

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22007026AINMDSpeech-Language Pathologist
10765MDMDSpeech-Language Pathologist
LL61195832WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maps Speech Therapy, LLC CurrentSince Nov 12, 2023 Accepting new patients
Pediatric Specialty Associates, Inc Past Accepting new patients
Pediatric Specialty Associates, Inc Speech-Language Pathologist PastSince May 16, 2022 Accepting new patients

Locations

1014 W 36th St
#665
Baltimore, MD 21211
Phone (667) 408-2095

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1952827727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST # 665",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "667-408-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST # 665",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "667-408-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMONS",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007026A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61195832",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.