NICOLE CELESTE FOGTMAN M.S., CCC-SLP
NPI 1124560933
Speech-Language Pathologist in Enid, OK

Q: What is Nicole Fogtman's NPI number?

The NPI number for Nicole Fogtman is 1124560933. It was assigned to this individual provider in the NPPES registry on November 9, 2016. The provider is also known as Nicole Celeste Reynolds M.S., Ccc-Slp.

Q: What is Nicole Fogtman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Fogtman was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2016

2615 E RANDOLPH AVE, ENID, OK 73701(412) 420-7164(580) 234-2615 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Aug 5, 2019, Nov 9, 2016 (3 updates tracked since 2016).

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About Nicole Celeste Fogtman M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE CELESTE FOGTMAN M.S., CCC-SLP (NPI 1124560933) is an individual speech-language pathologist provider in Enid, Oklahoma, licensed in Oklahoma (5495) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1124560933

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameNICOLE CELESTE FOGTMANCredential: M.S., CCC-SLP

Location Address2615 E RANDOLPH AVEEnid, OK 73701-4670

Mailing Address2615 E Randolph AveEnid, OK 73701-4670 · (412) 420-7164 · Fax (580) 234-2615

Phone(412) 420-7164

Fax(580) 234-2615

Sole ProprietorNo

Enumeration DateNovember 9, 2016

Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration

NPPES CertifiedAugust 5, 2021

✔ NPI 1124560933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in OK · 5495✔ Licensed in TN · 6075

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.

2615 E RANDOLPH AVE, Enid, OK 73701

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Other Names 1

Former Name (1)Nicole Celeste Reynolds M.s., Ccc-slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY E BULLER MS CCC SLP

Speech-Language Pathologist