Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083063002 Individual Practitioner Female Practitioner

Nicole Van Dycke , MS CCC-SLP

Speech-Language Pathologist • Summit, WI

Professional Overview & Biography Verified Profile Summary

Nicole Van Dycke, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Summit, WI. Practice services are available at 36500 AURORA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Summit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Summit, WI (3821 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: 2021-04-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 5023

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.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License IL 242.003895

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 26, 2021

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

👤
Provider Name / Credentials Updated April 26, 2021

Recorded as NICOLE VAN DYCKE, M.S. CCC-SLP

NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2016

Registered at 15 COMMERCE DR, SUITE 116, GRAYSLAKE, IL 600307807 (Tel: 8472237433)

📍
Updated Business Mailing Address June 09, 2016

Registered at 7015 EDGEWOOD CT, SPRING GROVE, IL 600818335 (Tel: 8153530068)

👤
Provider Name / Credentials Updated June 09, 2016

Recorded as NICOLE VAN DYCKE, M.S., CFY-SLP

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

Specialist/Technologist (License #242.003895 in IL)

🟢
Initial NPI Registration & Enumeration June 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: 1083063002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2016
Last Update: April 26, 2021
Sole Proprietor: No

Mailing Address

7015 Edgewood Ct

Spring Grove, IL 600818335

Phone: 8153530068

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.