Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225207996 Individual Practitioner Female Practitioner

Nickole A Hines-Staples , MA, CCC-SLP

Speech-Language Pathologist • Austin, TX

Professional Overview & Biography Verified Profile Summary

Nickole Hines-Staples, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Austin, TX. Practice services are available at 1601 TRINITY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 Trinity St

Austin, TX 787121765

Telephone 5124955257
Fax 9897741891
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1103 Specialists

Practicing in Austin, TX (17210 Statewide)

Telehealth Adoption Rate
1.1% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 103963

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 MI 7101004319

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas License
103963 (TX)
Commercial Insurance / Payer ID Asha
12111764 (MI)
Commercial Insurance / Payer ID Michigan License
7101004319 (MI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Annmarie Bates , MSCCC-SLP

Speech-Language Pathologist

NPI 1003394974

MSCCCSLP

NPI 1023395886

Doctor of Audiology, Doctor of Philosophy (Ph.D.)

Dr. Janet Sturm , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1063507291

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1083798540

PHDCCCA

NPI 1114008711

Doctor of Philosophy (Ph.D.), CCCA

Mary Jack , MSP CCC-SLP

Speech-Language Pathologist

NPI 1144312265

MSPCCCSLP

Career & Practice History Timeline

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

14 Historical Events
NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 1601 TRINITY ST, AUSTIN, TX 787121765 (Tel: 5124955257)

📍
Updated Business Mailing Address January 25, 2018

Registered at 1315 ROADRUNNER DR, CEDAR PARK, TX 786135105 (Tel: 7132031412)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as NICKOLE HINES-STAPLES, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Speech-Language Pathologist (License #7101004319 in MI)

📍
Updated Business Mailing Address January 08, 2018

Registered at 1315 ROADRUNNER DR, CEDAR PARK, TX 786135105 (Tel: 7132031412)

👤
Provider Name / Credentials Updated January 08, 2018

Recorded as NICKOLE HINES-STAPLES, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Speech-Language Pathologist (License #103963 in TX)

NPI Profile Active December 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2014

Registered at 1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 488590001 (Tel: 9897743904)

📍
Updated Business Mailing Address December 15, 2014

Registered at 1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 488590001 (Tel: 9897743904)

👤
Provider Name / Credentials Updated December 15, 2014

Recorded as NICKOLE HINES, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2014

Speech-Language Pathologist (License #7101004319 in MI)

🟢
Initial NPI Registration & Enumeration February 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225207996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2008
Last Update: January 25, 2018
Sole Proprietor: No

Mailing Address

1315 Roadrunner Dr

Cedar Park, TX 786135105

Phone: 7132031412

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.