Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568968568 Individual Practitioner Female Practitioner

Nicole Tirrell , SLP16546

Speech-Language Pathologist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Nicole Tirrell, SLP16546 is a registered healthcare professional specializing in Speech-Language Pathologist in Mesa, AZ. Practice services are available at 63 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63 E Main St

Mesa, AZ 852017417

Telephone 4804725395

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
429 Specialists

Practicing in Mesa, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-08-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP16546

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

16 Associated Practitioners
Grace Sievert

Occupational Therapist

NPI 1043044571
Susan Bowman , MS

Speech-Language Pathologist

NPI 1134208770

Master of Science

Benjamin Guzman , OTR, L

Occupational Therapist

NPI 1215618756

Occupational Therapist Registered, L

Kaylee Homstad , MS, CCC-SLP

Speech-Language Pathologist

NPI 1235486317

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

Suzanne Romo , COTA, L

Occupational Therapy Assistant

NPI 1245967579

Certified Occupational Therapy Assistant, L

Kaelyn King

Occupational Therapist

NPI 1245995844

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 25, 2025

Registered at 63 E MAIN ST, MESA, AZ 852017417 (Tel: 4804725395)

👤
Provider Name / Credentials Updated August 25, 2025

Recorded as NICOLE TIRRELL, SLP16546

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Speech-Language Pathologist (License #SLP16546 in AZ)

📍
Updated Business Mailing Address December 02, 2024

Registered at 4338 E SANDIA ST, PHOENIX, AZ 850443947 (Tel: 4807735974)

👤
Provider Name / Credentials Updated December 02, 2024

Recorded as NICOLE TIRRELL, TSLP15641

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Speech-Language Pathologist (License #TSLP15641 in AZ)

NPI Profile Active March 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2018

Registered at 9385 W DONALD DR, PEORIA, AZ 853832988 (Tel: 4807735974)

📍
Updated Business Mailing Address March 30, 2018

Registered at 2483 E GLENHAVEN DR, PHOENIX, AZ 850488205 (Tel: 4807735974)

👤
Provider Name / Credentials Updated March 30, 2018

Recorded as NICOLE GILDERSLEEVE, SLPA11100

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2018

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration March 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568968568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2018
Last Update: August 25, 2025
Sole Proprietor: Yes

Mailing Address

4338 E Sandia St

Phoenix, AZ 850443947

Phone: 4807735974

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.