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MRS. NICKI JO THEODORIDIS M.ED.,CCC-SLP
NPI 1932653789
Speech-Language Pathologist in Edmond, OK

Active since August 10, 2016
715 GLENRIDGE DR, EDMOND, OK 73013(816) 753-5459(816) 753-5119 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nicki Jo Theodoridis M.ed.,ccc-slp NPPES

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

MRS. NICKI JO THEODORIDIS M.ED.,CCC-SLP (NPI 1932653789) is an individual speech-language pathologist provider in Edmond, Oklahoma, licensed in Oklahoma (996) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1932653789
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. NICKI JO THEODORIDISCredential: M.ED.,CCC-SLP
Location Address715 GLENRIDGE DREdmond, OK 73013-1824
Mailing Address715 Glenridge DrEdmond, OK 73013-1824 · (816) 753-5459 · Fax (816) 753-5119
Phone(816) 753-5459
Fax(816) 753-5119
Sole ProprietorYes
Enumeration DateAugust 10, 2016
✔ NPI 1932653789 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
Licenses✔ Licensed in OK · 996✔ Licensed in MO · 2016009648✔ Licensed in KS · 3903
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.

715 GLENRIDGE DR, Edmond, OK 73013
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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of swallowing function image 92611
An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.
11 services11 patients

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 Nicki Theodoridis's NPI number?

The NPI number for Nicki Theodoridis is 1932653789. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Nicki Theodoridis located?

Nicki Theodoridis practices at 715 Glenridge Dr, Edmond, OK 73013. The listed phone number is (816) 753-5459.

What is Nicki Theodoridis's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicki Theodoridis was last updated on August 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.