Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639505993 Individual Practitioner Female Practitioner

Jennifer Nichols , CCC-SLP

Speech-Language Pathologist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Jennifer Nichols, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort Worth, TX. Practice services are available at 1000 SAINT LOUIS AVE STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Saint Louis Ave Ste 102

Fort Worth, TX 761043377

Telephone 8179215020
Fax 8179215022
Associated Practice Facility / Clinic
🏢 Pedi Spot Llc Facility NPI 1235338153

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
694 Specialists

Practicing in Fort Worth, TX (17210 Statewide)

Telehealth Adoption Rate
0.3% 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 ND 1234

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 TX 111513

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

40 Associated Practitioners
Kathleen Sides

Physical Therapy Assistant

NPI 1023547007
Kallie Wilkinson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1033646070

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

Kari Rhodes , MS, CCC-SLP

Speech-Language Pathologist

NPI 1043665623

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

Dr. Jessica Wells , DPT

Physical Therapist

NPI 1053694752

Doctor of Physical Therapy

Jan Bieniosek

Speech-Language Pathologist

NPI 1104058171
Ernesto Delgado

Specialist/Technologist - Speech-Language Assistant

NPI 1114426145

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Speech-Language Pathologist (License #1234 in ND)

NPI Profile Active September 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2017

Registered at 1000 SAINT LOUIS AVE STE 102, FORT WORTH, TX 761043377 (Tel: (817) 921-5020)

📍
Updated Business Mailing Address September 29, 2017

Registered at 1000 SAINT LOUIS AVE STE 102, FORT WORTH, TX 761043377 (Tel: (817) 921-5020)

👤
Provider Name / Credentials Updated September 29, 2017

Recorded as JENNIFER NICHOLS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2017

Speech-Language Pathologist (License #111513 in TX)

NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2013

Registered at 1000 HIGHWAY 12, HETTINGER, ND 586397530 (Tel: 7015674561)

📍
Updated Business Mailing Address September 18, 2013

Registered at 1000 HIGHWAY 12, HETTINGER, ND 586397530

👤
Provider Name / Credentials Updated September 18, 2013

Recorded as JENNIFER NICHOLS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Speech-Language Pathologist (License #1234 in ND)

🟢
Initial NPI Registration & Enumeration September 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639505993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1000 Saint Louis Ave Ste 102

Fort Worth, TX 761043377

Phone: 8179215020

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.