Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366819179 Individual Practitioner Female Practitioner

Nicole Alyssa Sullivan , MA

Speech-Language Pathologist • Franklin Square, NY

Professional Overview & Biography Verified Profile Summary

Nicole Sullivan, MA is a registered healthcare professional specializing in Speech-Language Pathologist in Franklin Square, NY. Practice services are available at 146 DAFFODIL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

146 Daffodil Ave

Franklin Square, NY 110103815

Telephone 5166554031

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Franklin Square, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Franklin Square, NY (25106 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

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

6 Historical Events
NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2015

Registered at 146 DAFFODIL AVE, FRANKLIN SQUARE, NY 110103815 (Tel: 5166554031)

📍
Updated Business Mailing Address September 14, 2015

Registered at 146 DAFFODIL AVE, FRANKLIN SQUARE, NY 110103815 (Tel: 5166554031)

👤
Provider Name / Credentials Updated September 14, 2015

Recorded as NICOLE SULLIVAN, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration August 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366819179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2015
Last Update: September 14, 2015
Sole Proprietor: No

Mailing Address

146 Daffodil Ave

Franklin Square, NY 110103815

Phone: 5166554031

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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