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MRS. NICOLE CARRILLO CCC
NPI 1366863995
Speech-Language Pathologist in Grain Valley, MO

Active since December 28, 2013
640 NW JEFFERSON ST, GRAIN VALLEY, MO 64029(816) 785-2284(816) 633-4371 Get Directions Write a Review

NPPES record last updated: December 28, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Nicole Carrillo Ccc NPPES

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

MRS. NICOLE CARRILLO CCC (NPI 1366863995) is an individual speech-language pathologist provider in Grain Valley, Missouri, licensed in Missouri (2013013585) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1366863995
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. NICOLE CARRILLOCredential: CCC
Location Address640 NW JEFFERSON STGrain Valley, MO 64029-8278
Mailing Address701 Opera House LnOdessa, MO 64076-1624 · (816) 785-2284 · Fax (816) 633-4371
Phone(816) 785-2284
Fax(816) 633-4371
Sole ProprietorNo
Enumeration DateDecember 28, 2013
✔ NPI 1366863995 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
License✔ Licensed in MO · 2013013585
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.
640 NW JEFFERSON ST, Grain Valley, MO 64029
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Other Providers at the Same Location NPPES 6

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

STACEE NEWSOM P.T.
Physical Therapist
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029
Jackson County (816) 726-7337
MONICA R CARRIER OTR
Occupational Therapist
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029
Jackson County (816) 847-8279
MICHELLE GRACE CLARK MHS, CCC-SLP
Speech-Language Pathologist
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029
Jackson County (816) 847-8279
CAITLIN ROBINSON
Physical Therapist
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029
Jackson County (816) 726-7337
STARZ PEDIATRIC THERAPY NETWORK
Clinic/Center (Physical Therapy)
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029
Jackson County (816) 726-7337
MRS. VANESSA SUE COONCE M.S., CCC-SLP
Speech-Language Pathologist
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029
Jackson County (816) 785-2284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Carrillo's NPI number?

The NPI number for Nicole Carrillo is 1366863995. It was assigned to this individual provider in the NPPES registry on December 28, 2013.

Where is Nicole Carrillo located?

Nicole Carrillo practices at 640 NW Jefferson St, Grain Valley, MO 64029. The listed phone number is (816) 785-2284.

What is Nicole Carrillo's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Carrillo was last updated on December 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.