Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952874299 Individual Practitioner Female Practitioner

Nicole Douglas

Speech-Language Pathologist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Nicole Douglas is a registered healthcare professional specializing in Speech-Language Pathologist in Phoenix, AZ. Practice services are available at 32150 N NORTH FOOTHILLS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

32150 N North Foothills Dr

Phoenix, AZ 850858100

Telephone 6234458400

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 TSLP11612

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

4 Associated Practitioners
Kathy Gunderson

Registered Nurse

NPI 1043860869
Patricia Leon

Registered Nurse

NPI 1205385549
Kelly Criswell

Registered Nurse - School

NPI 1417329897
Shannon Alexander

Speech-Language Pathologist

NPI 1891349528

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2019

Registered at 32150 N NORTH FOOTHILLS DR, PHOENIX, AZ 850858100 (Tel: 6234458400)

📍
Updated Business Mailing Address January 09, 2019

Registered at 11 E BELL RD APT 307, PHOENIX, AZ 850226327 (Tel: 6363686864)

👤
Provider Name / Credentials Updated January 09, 2019

Recorded as NICOLE DOUGLAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Speech-Language Pathologist (License #TSLP11612 in AZ)

🟢
Initial NPI Registration & Enumeration January 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952874299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2019
Last Update: January 09, 2019
Sole Proprietor: Yes

Mailing Address

11 E Bell Rd Apt 307

Phoenix, AZ 850226327

Phone: 6363686864

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.