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NICOLE VAHDAT SLP
NPI 1376413997
Speech-Language Pathologist in Beaverton, OR

Active since November 08, 2025
13349 SW PARKWAY, BEAVERTON, OR 97005(559) 260-9792 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Nov 19, 2025, Nov 8, 2025 (3 updates tracked since 2025).

About Nicole Vahdat Slp NPPES

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

NICOLE VAHDAT SLP (NPI 1376413997) is an individual speech-language pathologist provider in Beaverton, Oregon, licensed in Oregon (016439) and active in the NPI registry since November 2025. She maintains 2 additional practice locations and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376413997
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE VAHDATCredential: SLP
Location Address13349 SW PARKWAYBeaverton, OR 97005-0948
Mailing Address13349 Sw ParkwayBeaverton, OR 97005-0948 · (559) 260-9792
Phone(559) 260-9792
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2025
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1376413997 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 OR · 016439
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.
13349 SW PARKWAY, Beaverton, OR 97005
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Other Names 1

Former Name (1)Nicole Dersimonian

Secondary Practice Locations 2

Location 110180 SE Sunnyside RdClackamas, OR 97015-8970 · Phone (800) 813-2000
Location 24855 SW Western AveBeaverton, OR 97005-3460 · Phone (800) 813-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Vahdat Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628553641
PECOS Enrollment IDI20260327002178

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 Vahdat's NPI number?

The NPI number for Nicole Vahdat is 1376413997. It was assigned to this individual provider in the NPPES registry on November 8, 2025. The provider is also known as Nicole Dersimonian.

Where is Nicole Vahdat located?

Nicole Vahdat practices at 13349 SW Parkway, Beaverton, OR 97005. The listed phone number is (559) 260-9792.

What is Nicole Vahdat's specialty?

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

Is Nicole Vahdat enrolled in Medicare?

Yes. Nicole Vahdat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Vahdat was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.