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Nikki Martin , MS CCC-SLP

Speech-Language Pathologist β€’ Pace, FL

Active NPI 1104019256 Individual Practitioner Female Practitioner
Practice location in NPPES

4273 Dana St
Pace, FL 325712009

Call 8508653981 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

4273 Dana St

Pace, FL 325712009

Telephone 8508653981
Fax 8666756298
Organization at the Same NPPES Address or Phone
Accent Usa Facility NPI 1144771924

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

NPI first issued

2007

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

Compared with the same specialty in Pace and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pace

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 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: 2025-09-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA9778

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

Career & Practice History Timeline

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

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2019

Speech-Language Pathologist (license number reported to NPPES: FL SA9778)

βœ…
NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 07, 2017

Registered at 4273 DANA ST, PACE, FL 325712009 (Tel: 8508653981)

πŸ“
Updated Business Mailing Address March 07, 2017

Registered at 4273 DANA ST, PACE, FL 325712009 (Tel: 8508653981)

πŸ‘€
Provider Name / Credentials Updated March 07, 2017

Recorded as NIKKI MARTIN, M.S. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Specialist

βœ…
NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 05, 2012

Registered at 33279 PENNSYLVANIA AVE, RIDGE MANOR, FL 335239041 (Tel: 3523468029)

πŸ“
Business Mailing Address (Initial Record) November 05, 2012

Registered at CMR 467 BOX 4498, APO, AE 090960045

πŸ‘€
Provider Name / Credentials (Initial Record) November 05, 2012

Recorded as NIKKI MARTIN, M.S. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Specialist

🟒
Initial NPI Registration & Enumeration August 22, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104019256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2007
Last Update: September 20, 2025
Sole Proprietor: Yes

Mailing Address

4273 Dana St

Pace, FL 325712009

Phone: 2512785454

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.