NICOLE SMITH (MA-CCC/SLP) – Speech-Language Pathologist, NPI 1144937764

NICOLE SMITH (MA-CCC/SLP) is a healthcare provider. based in Dublin, Ohio. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE, QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA-CCC/SLP. They hold a License No. SP09032 (OH). The NPI Number for NICOLE SMITH (MA-CCC/SLP) is 1144937764

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SMITH (MA-CCC/SLP)
NPI
1144937764
Phone
(614) 314-0592
Address
8741 DAVINGTON DR
Enumeration Date
2 November 2022
Last Update Date
2 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148668158
Graduation Year
2007 (19 years ago)
PAC ID
5092185413
Group Practice PAC ID
9739192147
Professional Enrollment ID
I20221229002234
Address ID
OH432123882GR800XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

499 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for NICOLE SMITH (MA-CCC/SLP)

  • 8741 DAVINGTON DR

    DUBLIN, OH 430178740

    Phone: (614) 314-0592

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221229002234IOccupational Therapist In Private PracticeOHTBD
I20250918001118IQualified Speech Language PathologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739192147View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE SMITH (MA-CCC/SLP)?
NICOLE SMITH (MA-CCC/SLP) — NPI 1144937764 — is the standard way to identify this listing.
Does the file indicate NICOLE SMITH (MA-CCC/SLP) is practicing under active NPI?
Directory data currently reports NICOLE SMITH (MA-CCC/SLP) as active.
What is NICOLE SMITH (MA-CCC/SLP)'s specialty?
The listing groups NICOLE SMITH (MA-CCC/SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Does NICOLE SMITH (MA-CCC/SLP) list a practice location?
Patients near Dublin, Ohio may find NICOLE SMITH (MA-CCC/SLP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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