Nicolette Angelina Born, M.S-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015209 Issued in PA

Practice address

2112 N Franklin Dr Ste 4-5
Washington, PA 15301-5874

Phone

(724) 705-7050

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positive Steps Therapy, LLC

  • Pediatric Physical Therapist
  • Gibsonia, PA
  • NPI 1316985013

  Speech-Language Pathologist

  NPD (past)
• The Childrens Institute of Pittsburgh

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1255422408
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Nicolette Angelina Hughes Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2021.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1992322671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 TRIPHAMMER RD",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151299434",
            "telephone_number": "724-710-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N FRANKLIN DR STE 4-5",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015874",
            "telephone_number": "724-705-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 Triphammer Rd",
            "address_purpose": "LOCATION",
            "city": "South Park",
            "state": "PA",
            "postal_code": "151299434",
            "country_code": "US",
            "telephone_number": "724-710-8907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORN",
        "first_name": "NICOLETTE",
        "middle_name": "ANGELINA",
        "credential": "M.S-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19218",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "14334997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SA19218",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL",
            "identifier": "SL015209",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "HUGHES",
            "middle_name": "ANGELINA",
            "credential": "MS-CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blueprints
• Michele Bobko, COTA/L
• Anthony J Bonetto, PA-C
• Michael E Bonus, CRNP
• Stacey M Bonus, CRNP
• Susan Joan Bosetti
• Stephen Bowen, D.P.T.
• Julie Jean Bower
• Derek Bowman
• Jennifer Lynn Boyd, DENTIAL HYGIENIST

• All providers in Washington, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.