Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659664571 Individual Practitioner Female Practitioner

Nicole Johnson

Speech-Language Pathologist • Rochester, NY

Professional Overview & Biography Verified Profile Summary

Nicole Johnson is a registered healthcare professional specializing in Speech-Language Pathologist in Rochester, NY. Practice services are available at 160 WALLACE WAY BLDG 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

160 Wallace Way Bldg 9

Rochester, NY 14624

Telephone 5856172314
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rochester, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
570 Specialists

Practicing in Rochester, NY (25106 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

CMS Verified: 2023-08-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 022791

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 VA 2202005855

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.

Secondary Practice Locations

41 Oconnor Rd

Fairport, NY 144501327

Phone: 5854198174

182 Queensland Dr

Spencerport, NY 145592410

Phone: 7169841296

Practice Associates & Co-Workers

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

2 Associated Practitioners
Emily Pukos , MA, CCC-SLP

Speech-Language Pathologist

NPI 1154878148

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Anne Peck , PT

Physical Therapist

NPI 1912216433

Physical Therapist

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address August 07, 2023

Registered at PO BOX 297, SPENCERPORT, NY 145590297 (Tel: 7169841296)

📍
Updated Practice Location September 05, 2018

Registered at 160 WALLACE WAY BLDG 9, ROCHESTER, NY 14624 (Tel: 5856172314)

📍
Updated Business Mailing Address September 05, 2018

Registered at 124 SNOWBERRY CRES, ROCHESTER, NY 146064650 (Tel: 7169841296)

👤
Provider Name / Credentials Updated September 05, 2018

Recorded as NICOLE JOHNSON

NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2013

Registered at 41 OCONNOR RD, FAIRPORT, NY 144501327 (Tel: 5854198174)

📍
Updated Business Mailing Address July 09, 2013

Registered at 572 CEDARWOOD TER, ROCHESTER, NY 146097137 (Tel: 7169841296)

👤
Provider Name / Credentials Updated July 09, 2013

Recorded as NICOLE WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Speech-Language Pathologist (License #022791 in NY)

🟢
Initial NPI Registration & Enumeration May 25, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659664571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2011
Last Update: August 07, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 297

Spencerport, NY 145590297

Phone: 7169841296

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.