MRS. NICOLE NICOLETTE-WALZ MS CCC SLP
NPI 1588800718
Speech-Language Pathologist in Clinton, NY

Q: What is Nicole Nicolette-walz's NPI number?

The NPI number for Nicole Nicolette-walz is 1588800718. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Q: What is Nicole Nicolette-walz's specialty?

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

Active since December 17, 2008

2 FOUNTAIN ST STE 109, CLINTON, NY 13323(315) 858-6090(315) 853-3190 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Nicole Nicolette-walz Ms Ccc Slp NPPES

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

MRS. NICOLE NICOLETTE-WALZ MS CCC SLP (NPI 1588800718) is an individual speech-language pathologist provider in Clinton, New York, licensed in New York (010183) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1588800718

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. NICOLE NICOLETTE-WALZCredential: MS CCC SLP

Location Address2 FOUNTAIN ST STE 109Clinton, NY 13323-1725

Mailing Address2 Fountain St Ste 109Clinton, NY 13323-1725 · (315) 858-6090 · Fax (315) 853-3190

Phone(315) 858-6090

Fax(315) 853-3190

Sole ProprietorNo

Enumeration DateDecember 17, 2008

✔ NPI 1588800718 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 · 010183

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.

2 FOUNTAIN ST STE 109, Clinton, NY 13323

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Nicolette-walz Ms Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Nicolette-walz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech Language Therapy Of Central New York LLC

16 mi

Speech-Language Pathologist

4266 ACME RD
Frankfort, NY 13340

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1649723727 (315) 732-9368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MRS. FELICIA ANN BRENNAN OTR/L

Occupational Therapist (Pediatrics)

2 FOUNTAIN ST STE 109
CLINTON, NY 13323

Oneida County (315) 853-6090

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 Nicolette-walz's NPI number?

The NPI number for Nicole Nicolette-walz is 1588800718. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Where is Nicole Nicolette-walz located?

Nicole Nicolette-walz practices at 2 Fountain St Ste 109, Clinton, NY 13323. The listed phone number is (315) 858-6090.

What is Nicole Nicolette-walz's specialty?

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

Is Nicole Nicolette-walz enrolled in Medicare?

Yes. Nicole Nicolette-walz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Nicolette-walz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nicolette-walz reassigns Medicare benefits to Speech Language Therapy Of Central New York LLC (Frankfort, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Nicolette-walz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Nicolette-walz was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.