NICOLE J RYAN
NPI 1881369817
Speech-Language Pathologist in Virginia Beach, VA

Active since August 11, 2021
4622 JERICHO RD, VIRGINIA BEACH, VA 23462(757) 648-3320 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Feb 27, 2023, Aug 11, 2021 (3 updates tracked since 2021).

About Nicole J Ryan NPPES

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

NICOLE J RYAN (NPI 1881369817) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202010723) and active in the NPI registry since August 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1881369817
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE J RYAN
Location Address4622 JERICHO RDVirginia Beach, VA 23462-2225
Mailing Address40 Rose AveSpringfield, NJ 07081-1721 · (908) 358-8595
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 11, 2021
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1881369817 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 VA · 2202010723
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.
4622 JERICHO RD, Virginia Beach, VA 23462

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID547745259
PECOS Enrollment IDI20260331002693

Medicare Billing Reassignment

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

Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Virginia enrollment
  • 121 clinicians in this Medicare group

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.

Speech-Language Pathologist
4622 JERICHO RD
VIRGINIA BEACH, VA 23462

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 Ryan's NPI number?

The NPI number for Nicole Ryan is 1881369817. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Nicole Ryan located?

Nicole Ryan practices at 4622 Jericho Rd, Virginia Beach, VA 23462. The listed phone number is (757) 648-3320.

What is Nicole Ryan's specialty?

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

Is Nicole Ryan enrolled in Medicare?

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

Which organization bills Medicare for Nicole Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ryan reassigns Medicare benefits to Expressable Therapy PC (Austin, TX). 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 Ryan'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 Ryan was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.