Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396367926 Individual Practitioner Female Practitioner

Nicole Michelle Randall , SLPA

Speech-Language Pathologist • Gilbert, AZ

Professional Overview & Biography Verified Profile Summary

Nicole Randall, SLPA is a registered healthcare professional specializing in Speech-Language Pathologist in Gilbert, AZ. Practice services are available at 375 S COLUMBUS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

375 S Columbus Dr

Gilbert, AZ 852962101

Telephone 4805071624

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Gilbert, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
312 Specialists

Practicing in Gilbert, AZ (4584 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP16117

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Julia Ackerman , MS, CF-SLP

Speech-Language Pathologist

NPI 1003597741

Master of Science, Clinical Fellow in Speech-Language Pathology

Lauren Wolkove

Psychologist - School

NPI 1275855835
Tasha Cerimeli , SLP

Speech-Language Pathologist

NPI 1699066878

Speech-Language Pathologist

Tanya Bainbridge , SLP

Speech-Language Pathologist

NPI 1982285193

Speech-Language Pathologist

Jennifer Ware , MS, CCC-SLP

Speech-Language Pathologist

NPI 1992866255

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2025

Speech-Language Pathologist (License #SLP16117 in AZ)

📍
Updated Practice Location January 07, 2025

Registered at 375 S COLUMBUS DR, GILBERT, AZ 852962101 (Tel: 4805071624)

📍
Updated Business Mailing Address January 07, 2025

Registered at 728A S LAGO DR, APACHE JUNCTION, AZ 851205124 (Tel: 4802410788)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Specialist/Technologist (License #SLPA15789 in AZ)

NPI Profile Active May 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2020

Registered at 854 E WILLIAMS FIELD RD STE 105, GILBERT, AZ 852950703 (Tel: 4803984280)

📍
Updated Business Mailing Address May 18, 2020

Registered at PO BOX 50218, PHOENIX, AZ 850760218 (Tel: 4803984280)

👤
Provider Name / Credentials Updated May 18, 2020

Recorded as NICOLE RANDALL, SLPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2020

Specialist/Technologist (License #SLPA12345 in AZ)

🟢
Initial NPI Registration & Enumeration May 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396367926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2020
Last Update: July 16, 2025
Sole Proprietor: No

Mailing Address

728a S Lago Dr

Apache Junction, AZ 851205124

Phone: 4802410788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.