Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033120563 Individual Practitioner Female Practitioner

Nicole Schneider Riley , SLP

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Nicole Riley, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 12025 SAN JOSE BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12025 San Jose Blvd Ste 101

Jacksonville, FL 322231639

Telephone 9048801444
Fax 9045171621

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% 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: 2021-11-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA8779

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL 8779

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
891077400 (FL)
Medicaid State Provider ID
116666937A (GA)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Melissa Gillmer , CCC-SLP

Speech-Language Pathologist

NPI 1275523094

Speech-Language Pathologist (Certificate of Clinical Competence)

Jamie Toler , MOT, OTR, L

Occupational Therapist

NPI 1295901965

Master of Occupational Therapy, Occupational Therapist Registered, L

Amanda Bertsch , CCC-SLP

Speech-Language Pathologist

NPI 1487123980

Speech-Language Pathologist (Certificate of Clinical Competence)

Ashley Brannon , MED CCC-SLP

Speech-Language Pathologist

NPI 1497901599

MEDCCCSLP

Mary Swanson , CCC-SLP

Speech-Language Pathologist

NPI 1679584106

Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Hall , MS

Speech-Language Pathologist

NPI 1801284476

Master of Science

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 15, 2021

Registered at 12025 SAN JOSE BLVD STE 101, JACKSONVILLE, FL 322231639 (Tel: 9048801444)

📍
Updated Business Mailing Address November 15, 2021

Registered at 12025 SAN JOSE BLVD STE 101, JACKSONVILLE, FL 322231639 (Tel: 9048801444)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2021

Speech-Language Pathologist (License #8779 in FL)

NPI Profile Active March 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2013

Registered at 1725 HERMITAGE BLVD, TALLAHASSEE, FL 323087709 (Tel: 8503256301)

📍
Updated Business Mailing Address March 22, 2013

Registered at 1725 HERMITAGE BLVD, TALLAHASSEE, FL 323087709 (Tel: 8503256301)

👤
Provider Name / Credentials Updated March 22, 2013

Recorded as NICOLE RILEY, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2013

Speech-Language Pathologist (License #SA8779 in FL)

🟢
Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1033120563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: November 15, 2021
Sole Proprietor: No

Mailing Address

12025 San Jose Blvd Ste 101

Jacksonville, FL 322231639

Phone: 9048801444

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.