Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548850928 Individual Practitioner Female Practitioner

Nicole Stull

Specialist/Technologist - Speech-Language Assistant • Moore, OK

Professional Overview & Biography Verified Profile Summary

Nicole Stull is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Moore, OK. Practice services are available at 1820 SW 30TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1820 Sw 30th St

Moore, OK 731602811

Telephone 4056401478
Fax 4053000737

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Moore, OK (226 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

CMS Verified: 2021-01-20
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License OK SLPA55

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jordyn Williams

Occupational Therapy Assistant

NPI 1265021760
Kasi Allison , COTA, L

Occupational Therapy Assistant

NPI 1487245387

Certified Occupational Therapy Assistant, L

Sara Simm , OTR, L

Occupational Therapist

NPI 1629385695

Occupational Therapist Registered, L

Paige Beauclair , SLP-A

Specialist/Technologist - Speech-Language Assistant

NPI 1992496814

Speech-Language Pathology Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2021

Registered at 1820 SW 30TH ST, MOORE, OK 731602811 (Tel: 4056401478)

📍
Updated Business Mailing Address January 20, 2021

Registered at 1820 SW 30TH ST, MOORE, OK 731602811 (Tel: 4056401478)

👤
Provider Name / Credentials Updated January 20, 2021

Recorded as NICOLE STULL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Specialist/Technologist (License #SLPA55 in OK)

🟢
Initial NPI Registration & Enumeration January 20, 2021

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: 1548850928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2021
Last Update: January 20, 2021
Sole Proprietor: No

Mailing Address

1820 Sw 30th St

Moore, OK 731602811

Phone: 4056401478

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.