SHARON KAY NICKELSON · Speech-Language Pathologist

Address: 485 N Michillinda Ave, Pasadena, CA 91107-2262

SHARON KAY GRAY (NPI# 1639764012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639764012
Entity Type Individual
Other Name SHARON KAY NICKELSON (Former Name)
Gender Female
Credential CCC-SLP
Practice Address 485 N Michillinda Ave
CA 91107-2262
Practice Telephone 3154025529
Mailing Address 485 N Michillinda Ave
CA 91107-2262
Mailing Telephone 3154025529
Certification Date 2021-03-07
Enumeration Date 2021-03-07
Last Update Date 2021-03-07
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 235Z00000X Speech-Language Pathologist 29484 CA Speech, Language and Hearing Service Providers

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NPI Name Taxonomy Address Enumeration
1306848635 Sharon Kay Gray Nurse Anesthetist, Certified Registered 14820 72nd Ave W, Edmonds, WA 98026-4008 2005-05-31

Office Location

Street Address 485 N MICHILLINDA AVE
State CA
Zip Code 91107-2262

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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1336746320 Tanya C Godbold Speech-Language Pathologist 4311 Rainy River Dr, Pasadena, TX 77504-3129 2020-10-03
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1336773225 Crysta Song Speech-Language Pathologist 525 Orange Grove Pl, Pasadena, CA 91103-3358 2020-02-28
1134753783 Janel A. Umfress Speech-Language Pathologist 16 S Oakland Ave Ste 203, Pasadena, CA 91101-2042 2020-02-22
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1245896455 Khededra Renee Lewis Speech-Language Pathologist 1575 E Washington Blvd, Pasadena, CA 91104-2675 2019-05-13
1780154310 Amanda Ann Zeller Speech-Language Pathologist 8515 Jenkins Road, Pasadena, MD 21122 2018-11-27
1306328133 Judith Klein Speech-Language Pathologist 8028 Ritchie Hwy Ste 210, Pasadena, MD 21122-1075 2018-08-29
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.