Elizabeth Nicholson, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007910 Issued in GA

Practice address

915 Rosedale Rd NE
Lower Unit
Atlanta, GA 30306-4827

Phone

(678) 488-0589

NPI assigned

Oct 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1962952259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ROSEDALE RD NE",
            "address_2": "LOWER UNIT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064827",
            "telephone_number": "678-488-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ROSEDALE RD NE",
            "address_2": "LOWER UNIT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064827",
            "telephone_number": "678-488-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ELIZABETH",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presley Helen Nichols
• Shauneyah Nichols
• Vivian L Nichols, LMT
• Chadwick Brian Nicholson, PHARM.D., R.PH.
• Daniel Alan Nicholson, M.D.
• Ivy Marie Nicholson, RBT
• Katherine Elizabeth Nicholson, MD
• Tashima Nicholson, CCC-SLP
• Tiffany Renee Nicholson
• William J Nicholson, MD

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.