SHANNON ALYSE NIKULA SLP-A NPI 1508323510

NPI Information

NPI: 1508323510
Provider Name: SHANNON ALYSE NIKULA, SLP-A
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
21168 E TIERRA GRANDE DR
QUEEN CREEK, AZ
ZIP 85142
Phone: (702) 817-3160
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Shannon Alyse Nikula, SLP-A is a speech-language assistant specialist technologist in Queen Creek, AZ. Shannon Alyse Nikula, SLP-A NPI is 1508323510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21168 E TIERRA GRANDE DR
QUEEN CREEK, AZ
ZIP 85142-767
Phone: (702) 817-3160

The enumeration date for this NPI number is 2/26/2019 and was last updated on 2/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	SLPA11256	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D10928623	OTHER	ARIZONA	ARIZONA DRIVER'S LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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