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Nicole Denise Andriesse , MS, CCC-SLP

Speech-Language Pathologist β€’ Davie, FL

Active NPI 1780811851 Individual Practitioner Female Practitioner
Practice location in NPPES

6100 Griffin Rd
Davie, FL 333144416

Call 9547702399 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6100 Griffin Rd

Davie, FL 333144416

Telephone 9547702399
Organization at the Same NPPES Address or Phone
Nova Southeastern University, Inc Facility NPI 1306918412

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicole Andriesse has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Davie and Florida

138 active clinicians are listed under Speech-Language Pathologist with a practice address in Davie, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Davie

0.7% of these 138 clinicians have the CMS telehealth indicator.

6.5% of these 138 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA5711

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
885814400 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20091124000294

Enrollment State Jurisdiction

FL

PECOS Control ID

9830238211

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 01, 2021

Registered at 6100 GRIFFIN RD, DAVIE, FL 333144416 (Tel: 9547702399)

πŸ“
Updated Business Mailing Address April 01, 2021

Registered at 6100 GRIFFIN RD, DAVIE, FL 333144416 (Tel: 9542627726)

πŸ‘€
Provider Name / Credentials Updated April 01, 2021

Recorded as NICOLE ANDRIESSE, MS, CCC-SLP

βœ…
NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 31, 2016

Registered at 340 SUNSET DR APT 410, FORT LAUDERDALE, FL 333012640 (Tel: 9544784192)

πŸ“
Business Mailing Address (Initial Record) May 31, 2016

Registered at PO BOX 290370, FORT LAUDERDALE, FL 333290370 (Tel: 9542624346)

πŸ‘€
Provider Name / Credentials (Initial Record) May 31, 2016

Recorded as NICOLE LILIENTHAL, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Speech-Language Pathologist (license number reported to NPPES: FL SA5711)

🟒
Initial NPI Registration & Enumeration June 16, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780811851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2009
Last Update: April 01, 2021
Sole Proprietor: No

Other Speech-Language Pathologists in Davie

Healthcare providers in Davie

Mailing Address

6100 Griffin Rd

Davie, FL 333144416

Phone: 9542627726

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.