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Deactivated NPI 1912024050 Deactivated / Inactive NPI Female Practitioner

Nichole White , SLP

Speech-Language Pathologist • Bridgeport, WV

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nichole White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2007
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2006 – 2007)

Professional Overview & Biography Verified Profile Summary

Nichole White, SLP was a registered Speech-Language Pathologist practicing in Bridgeport, WV. Throughout an active medical career spanning 1 years, Nichole White provided care at the practice location at 415 BENEDUM DR until profile deactivation on 2007-07-17.

Nichole White accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

415 Benedum Dr

Bridgeport, WV 263301503

Telephone 3048429887
Fax 3048429888
Associated Practice Facility / Clinic
🏢 Wv Therapy Services Llc Facility NPI 1063692333

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bridgeport, WV

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +7.1 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
54 Specialists

Practicing in Bridgeport, WV (1413 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

Clinical Seniority & Experience Comparison

Dr. White (20 Years) 20 Yrs
Bridgeport Specialty Average (12.9 Years) 12.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WV P-0397

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

32 Associated Practitioners
Emily Devereux , OT

Occupational Therapist

NPI 1013213370

Occupational Therapist

Robin Raleigh , MOTR, L

Occupational Therapist

NPI 1043563919
Gregory Roberson

Physical Therapist

NPI 1124682406
Leon Hastings , MOT, L

Skilled Nursing Facility

NPI 1144569583

Master of Occupational Therapy, L

Gwendolyn Masterman , MOTR, L

Occupational Therapist

NPI 1194905620
Sara Johnson , SLP

Speech-Language Pathologist

NPI 1235528340

Speech-Language Pathologist

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 11, 2025

Registered at 415 BENEDUM DR, BRIDGEPORT, WV 263301503 (Tel: 3048429887)

📍
Updated Business Mailing Address September 11, 2025

Registered at 373 RUMER STA, RED HOUSE, WV 251686803 (Tel: 3045457988)

👤
Provider Name / Credentials Updated September 11, 2025

Recorded as NICHOLE WHITE, SLP

🔄
NPI Profile Reactivated January 16, 2015

Record officially reactivated for active practice on January 16, 2015

📍
Updated Practice Location January 16, 2015

Registered at 203 BRADFORD STREET, PIEDMONT ELEMENTARY, CHARLESTON, WV 25301 (Tel: 3043481910)

📍
Updated Business Mailing Address January 16, 2015

Registered at 2316 JEFFERSON AVE APT D, SAINT ALBANS, WV 251773278 (Tel: 3045457988)

👤
Provider Name / Credentials Updated January 16, 2015

Recorded as NICHOLE BLANKENSHIP, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2015

Speech-Language Pathologist (License #P-0397 in WV)

⚠️
NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

🟢
Initial NPI Registration & Enumeration March 23, 2007

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: 1912024050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: September 11, 2025
Deactivation Date: July 17, 2007
Sole Proprietor: No

Mailing Address

373 Rumer Sta

Red House, WV 251686803

Phone: 3045457988

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.