Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124560933 Individual Practitioner Female Practitioner

Nicole Celeste Fogtman , MS, CCC-SLP

Speech-Language Pathologist • Enid, OK

Professional Overview & Biography Verified Profile Summary

Nicole Fogtman, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Enid, OK. Practice services are available at 2615 E RANDOLPH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2615 E Randolph Ave

Enid, OK 737014670

Telephone 4124207164
Fax 5802342615
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
32 Specialists

Practicing in Enid, OK (2489 Statewide)

Telehealth Adoption Rate
3.1% 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: 2021-08-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OK 5495

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 TN 6075

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jessica Lathem , SLP-CCC

Speech-Language Pathologist

NPI 1154706604

SLPCCC

NPI 1699193698

AUDCCCA

Trilby Schmidt , MS CCC-SLP

Speech-Language Pathologist

NPI 1912357021

MSCCCSLP

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 05, 2021

Registered at 2615 E RANDOLPH AVE, ENID, OK 737014670 (Tel: 4124207164)

📍
Updated Business Mailing Address August 05, 2021

Registered at 2615 E RANDOLPH AVE, ENID, OK 737014670 (Tel: 4124207164)

👤
Provider Name / Credentials Updated August 05, 2021

Recorded as NICOLE FOGTMAN, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Speech-Language Pathologist (License #5495 in OK)

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2016

Registered at 9041 EXECUTIVE PARK DR STE 126, KNOXVILLE, TN 379234603 (Tel: 8656935622)

📍
Updated Business Mailing Address November 09, 2016

Registered at 9041 EXECUTIVE PARK DR STE 126, KNOXVILLE, TN 379234603 (Tel: 4124207164)

👤
Provider Name / Credentials Updated November 09, 2016

Recorded as NICOLE REYNOLDS, CF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Speech-Language Pathologist (License #6075 in TN)

🟢
Initial NPI Registration & Enumeration November 09, 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: 1124560933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2016
Last Update: August 05, 2021
Sole Proprietor: No

Mailing Address

2615 E Randolph Ave

Enid, OK 737014670

Phone: 4124207164

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.