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Deactivated NPI 1487794293 Deactivated / Inactive NPI Male Practitioner

Lynn L Nichols , MSCCC-SLP

Speech-Language Pathologist • Dexter, NM

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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, Lynn Nichols has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2007
NPI Deactivation Date February 11, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Lynn Nichols, MSCCC-SLP was a registered Speech-Language Pathologist practicing in Dexter, NM. Throughout an active medical career spanning 12 years, Lynn Nichols provided care at the practice location at 6413 CREE RD until profile deactivation on 2019-02-11.

Practice Location & Contact Primary Location

Practice Address

6413 Cree Rd

Dexter, NM 882309724

Telephone 5053470123

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dexter, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Dexter, NM (2057 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 NM 2596

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 February 11, 2019

Record deactivated on February 11, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6413 CREE RD, DEXTER, NM 882309724 (Tel: 5053470123)

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Updated Business Mailing Address July 08, 2007

Registered at 6413 CREE RD, DEXTER, NM 882309724 (Tel: 5053470123)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LYNN NICHOLS, MSCCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2596 in NM)

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Initial NPI Registration & Enumeration February 08, 2007

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: 1487794293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Deactivation Date: February 11, 2019

Mailing Address

6413 Cree Rd

Dexter, NM 882309724

Phone: 5053470123

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.