MS. NICOLE MARIE TILLMAN MACCC-SLP
NPI 1780065235
Speech-Language Pathologist in Cape Girardeau, MO

Q: What is Nicole Tillman's NPI number?

The NPI number for Nicole Tillman is 1780065235. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Q: What is Nicole Tillman'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 Tillman was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 10, 2015Accepts Medicare Assignment

2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701(573) 335-1999 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Nicole Marie Tillman Maccc-slp NPPES

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

MS. NICOLE MARIE TILLMAN MACCC-SLP (NPI 1780065235) is an individual speech-language pathologist provider in Cape Girardeau, Missouri, licensed in Missouri (2009013299) and active in the NPI registry since June 2015. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1780065235

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. NICOLE MARIE TILLMANCredential: MACCC-SLP

Location Address2001 N KINGSHIGHWAY STCape Girardeau, MO 63701-2127

Mailing Address2001 N Kingshighway StCape Girardeau, MO 63701-2127 · (573) 335-1999

Phone(573) 335-1999

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 10, 2015

Last NPPES UpdateOctober 18, 2021

NPPES CertifiedOctober 18, 2021

✔ NPI 1780065235 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 · 2009013299

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.

2001 N KINGSHIGHWAY ST, Cape Girardeau, MO 63701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Nicole Marie Tillman Maccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951799683

PECOS Enrollment IDI20211028001562

Other Providers at the Same Location NPPES 4

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

JORDAN TAYLOR RATLIFF

Occupational Therapy Assistant

2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 421-5642

HEATHER DIANE GAINES PTA

Physical Therapy Assistant

2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 334-1999

FOUNTAINBLEAU OF CAPE GIRARDEAU INC.

Skilled Nursing Facility

2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 335-1999

FOUNTAINBLEAU OF CAPE GIRARDEAU, INC.

Assisted Living Facility

2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 335-1999

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 Tillman's NPI number?

The NPI number for Nicole Tillman is 1780065235. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Nicole Tillman located?

Nicole Tillman practices at 2001 N Kingshighway St, Cape Girardeau, MO 63701. The listed phone number is (573) 335-1999.

What is Nicole Tillman's specialty?

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

Is Nicole Tillman enrolled in Medicare?

Yes. Nicole Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Tillman was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.