Nicole Lopez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18529 Issued in FL

Practice address

712 The Rialto
Venice, FL 34285-3524

Phone

(941) 375-8479

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1982391942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9277 AGATE ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339813973",
            "telephone_number": "941-465-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853524",
            "telephone_number": "941-375-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 Boundary Blvd",
            "address_purpose": "LOCATION",
            "city": "Rotonda West",
            "state": "FL",
            "postal_code": "339472002",
            "country_code": "US",
            "telephone_number": "941-697-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lomba MD PA
• Gina Diana Lombardo Paz, M.D
• Daniel London, DPM
• Thea Fluevog Longo, P.T.
• Ricardo Luis Lopez-Valle, MD
• Roberto A Lopez, M.D.
• Eric Lough, MD
• Louis S. Giannone, DPM PLLC
• Loveland Center, Inc.
• Loveland Center, Inc. (Ability First Therapy)

• Speech-Language Pathologist in Venice, FL
• Providers in Venice, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.