Nicole Shively, is a
Speech-language Pathologist based in Colusa, California. Nicole Shively is licensed to practice in California (license number 31324) and her current practice location is
813 Webster St, Colusa, California. She can be reached at her office (for appointments etc.) via phone at
(530) 458-7631.
NPI number for Nicole Shively is 1225952179 and her current mailing address is 345 5th St, Colusa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225952179.
Healthcare Provider's Profile
| Full Name | Nicole Shively |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 813 Webster St, Colusa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225952179
- Provider Enumeration Date: 08/05/2026
- Last Update Date: 08/05/2026
Medical Identifiers
Medical identifiers for Nicole Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225952179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 31324 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Shively is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Shively, 345 5th St, Colusa, CA 95932-2445 Ph: (530) 458-0350 | Nicole Shively, 813 Webster St, Colusa, CA 95932-2355 Ph: (530) 458-7631 |
Reviews and Comments