Active NPI
Nicole Ryan Dorsey
- Speech-Language Assistant
- Sierra Madre, CA
National Provider Identifier
1962745976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 2309
- Practice address
- 55 Auburn Ave
Sierra Madre, CA 91024-1847 - Phone
- (626) 355-1729
- Fax
- (626) 836-6927
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 2309 | CA | Primary |
Addresses
Primary practice location
55 Auburn Ave
Sierra Madre, CA 91024-1847
Mailing address
558 E Comstock Ave
Glendora, CA 91741-2719
Phone (626) 688-4982
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 |
|---|---|---|---|
| 2309 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1962745976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 E COMSTOCK AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412719",
"telephone_number": "626-688-4982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 AUBURN AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241847",
"telephone_number": "626-355-1729",
"fax_number": "626-836-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "NICOLE",
"middle_name": "RYAN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "2309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.