MRS. NICOLE PROVORNOV
NPI 1366872129
Speech-Language Pathologist in Trumbull, CT

Q: What is Nicole Provornov's NPI number?

The NPI number for Nicole Provornov is 1366872129. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Q: What is Nicole Provornov'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 Provornov was last updated on March 10, 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 14, 2013

4291 MADISON AVE, TRUMBULL, CT 06611(917) 385-7655 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Nicole Provornov NPPES

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

MRS. NICOLE PROVORNOV (NPI 1366872129) is an individual speech-language pathologist provider in Trumbull, Connecticut, licensed in New York (58022604) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1366872129

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. NICOLE PROVORNOV

Location Address4291 MADISON AVETrumbull, CT 06611-2739

Mailing Address4291 Madison AveTrumbull, CT 06611-2739 · (917) 385-7655

Phone(917) 385-7655

Sole ProprietorYes

Enumeration DateNovember 14, 2013

Last NPPES UpdateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1366872129 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 NY · 58022604

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.

4291 MADISON AVE, Trumbull, CT 06611

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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 Provornov's NPI number?

The NPI number for Nicole Provornov is 1366872129. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Nicole Provornov located?

Nicole Provornov practices at 4291 Madison Ave, Trumbull, CT 06611. The listed phone number is (917) 385-7655.

What is Nicole Provornov'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 Provornov was last updated on March 10, 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.