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Deactivated NPI 1265617740 Deactivated / Inactive NPI Female Practitioner

Nicolette Judge , MS CF-SLP

Speech-Language Pathologist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicolette Judge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2008
NPI Deactivation Date June 22, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Nicolette Judge, MS CF-SLP was a registered Speech-Language Pathologist practicing in Phoenix, AZ. Throughout an active medical career spanning 13 years, Nicolette Judge provided care at the practice location at 300 N 18TH ST until profile deactivation on 2021-06-22.

Practice Location & Contact Primary Location

Practice Address

300 N 18th St

Phoenix, AZ 850064103

Telephone 6022188185
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
942 Specialists

Practicing in Phoenix, AZ (4584 Statewide)

Telehealth Adoption Rate
0.4% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ TSLP4621

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

40 Associated Practitioners
Emily Orn

Behavior Analyst

NPI 1013450642
Haley Loeffler

Behavior Technician

NPI 1023525581
NPI 1033895529

Board Certified Behavior Analyst

Dr. Christina Whalen , PhD, BCBA-D

Psychologist - Clinical Child & Adolescent

NPI 1053692046

Doctor of Philosophy (Ph.D.), Board Certified Behavior Analyst - Doctoral

Dr. Delia Avelar , PsyD

Psychologist - Clinical

NPI 1073065900

Doctor of Psychology (Psy.D.)

Kelsey Schimmel

Behavior Analyst

NPI 1093222846

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 22, 2021

Record deactivated on June 22, 2021

NPI Profile Active January 03, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2008

Registered at 300 N 18TH ST, PHOENIX, AZ 850064103 (Tel: 6022188185)

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Updated Business Mailing Address January 03, 2008

Registered at 300 N 18TH ST, PHOENIX, AZ 850064103 (Tel: 6022188185)

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Provider Name / Credentials Updated January 03, 2008

Recorded as NICOLETTE JUDGE, M.S. CF-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2008

Speech-Language Pathologist (License #TSLP4621 in AZ)

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Initial NPI Registration & Enumeration January 03, 2008

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: 1265617740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2008
Last Update: January 03, 2008
Deactivation Date: June 22, 2021

Mailing Address

300 N 18th St

Phoenix, AZ 850064103

Phone: 6022188185

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.