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Deactivated NPI 1124305032 Deactivated / Inactive NPI Female Practitioner

Nicole Nash , MA, CCC-SLP

Speech-Language Pathologist • Crystal Lake, IL

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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, Nicole Nash has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 05, 2011
NPI Deactivation Date April 10, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Nicole Nash, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Crystal Lake, IL. Throughout an active medical career spanning 13 years, Nicole Nash provided care at the practice location at 1392A SKYRIDGE DRIVE until profile deactivation on 2024-04-10.

Practice Location & Contact Primary Location

Practice Address

1392a Skyridge Drive

Crystal Lake, IL 60014

Telephone 3097817600

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Crystal Lake, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.8 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Crystal Lake, IL (10321 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146011240

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.

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 April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active October 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 10, 2013

Registered at 1392A SKYRIDGE DRIVE, CRYSTAL LAKE, IL 60014 (Tel: 3097817600)

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Updated Business Mailing Address October 10, 2013

Registered at 1392A SKYRIDGE DRIVE, CRYSTAL LAKE, IL 60014 (Tel: 3097817600)

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Provider Name / Credentials Updated October 10, 2013

Recorded as NICOLE NASH, M.A., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2013

Speech-Language Pathologist (License #146011240 in IL)

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Initial NPI Registration & Enumeration November 05, 2011

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: 1124305032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2011
Last Update: October 10, 2013
Deactivation Date: April 10, 2024

Mailing Address

1392a Skyridge Drive

Crystal Lake, IL 60014

Phone: 3097817600

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

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