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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. NISANTH PANICKER M.S.,CCC-SLP
NPI 1790944684
Speech-Language Pathologist in Puyallup, WA

Active since June 05, 2008
920 12TH AVE SE, PUYALLUP, WA 98372(253) 841-3422(206) 445-4043 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Nisanth Panicker M.s.,ccc-slp NPPES

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

MR. NISANTH PANICKER M.S.,CCC-SLP (NPI 1790944684) is an individual speech-language pathologist provider in Puyallup, Washington, licensed in Washington (LL00004115) and active in the NPI registry since June 2008. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1790944684
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. NISANTH PANICKERCredential: M.S.,CCC-SLP
Location Address920 12TH AVE SEPuyallup, WA 98372-4920
Mailing Address920 12th Ave SePuyallup, WA 98372-4920 · (253) 841-3422 · Fax (206) 445-4043
Phone(253) 841-3422
Fax(206) 445-4043
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 5, 2008
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1790944684 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 WA · LL00004115
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.
920 12TH AVE SE, Puyallup, WA 98372
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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

Mr. Nisanth Panicker M.s.,ccc-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 ID1254850209
PECOS Enrollment IDI20250522002787

Other Providers at the Same Location NPPES 10

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

MRS. AMRITA NAMBIAR M.S., CCC-SLP
Speech-Language Pathologist
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
DAWN MICHELE LEVINE COTA/L
Occupational Therapy Assistant
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
MR. WILLIAM RAYMOND PYLE PTA
Physical Therapy Assistant
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
MRS. BREENA SUE HIRSCH PTA
Physical Therapy Assistant
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
WILDWOOD HEALTHCARE, INC.
Skilled Nursing Facility
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
FRANCESCA ANN ORVIS
Speech-Language Pathologist
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
MRS. KARIN RAE CUMMINGS COTA/L
Occupational Therapy Assistant
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422
MRS. MYLENE FOSTER RPT
Physical Therapist
920 12TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 841-3422

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 Nisanth Panicker's NPI number?

The NPI number for Nisanth Panicker is 1790944684. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Nisanth Panicker located?

Nisanth Panicker practices at 920 12th Ave SE, Puyallup, WA 98372. The listed phone number is (253) 841-3422.

What is Nisanth Panicker's specialty?

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

Is Nisanth Panicker enrolled in Medicare?

Yes. Nisanth Panicker 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 Nisanth Panicker was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.