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Active NPI 1932653789 Individual Practitioner Female Practitioner

Nicki Jo Theodoridis , MED, CCC-SLP

Speech-Language Pathologist • Edmond, OK

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Nicki Theodoridis, MED, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Edmond, OK. Official NPI practice address is registered at 715 GLENRIDGE DR.

Frequently performed procedures and clinical services include evaluation of swallowing function image, evaluation of swallowing function. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

715 Glenridge Dr

Edmond, OK 730131824

Telephone 8167535459
Fax 8167535119
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
170 Specialists

Practicing in Edmond, OK (2489 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92611 Evaluation of swallowing function image
11 11 $150.00 $90.63

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OK 996

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 MO 2016009648

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 KS 3903

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 August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 715 GLENRIDGE DR, EDMOND, OK 730131824 (Tel: 8167535459)

📍
Updated Business Mailing Address August 10, 2016

Registered at 715 GLENRIDGE DR, EDMOND, OK 730131824 (Tel: 8167535459)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as NICKI THEODORIDIS, M.ED.,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Speech-Language Pathologist (License #996 in OK)

🟢
Initial NPI Registration & Enumeration August 10, 2016

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: 1932653789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2016
Last Update: August 10, 2016
Sole Proprietor: Yes

Mailing Address

715 Glenridge Dr

Edmond, OK 730131824

Phone: 8167535459

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.