| Nikita Smith, | |
|
2901 Cedar St, Norwalk, IA 50211-9736 | |
| (877) 407-3422 | |
| (877) 407-4329 |
| Full Name | Nikita Smith |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2901 Cedar St, Norwalk, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285434985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 120897 (Iowa) | Primary |
| Provider Name | Fox Rehab Slp Ia Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427719947 PECOS PAC ID: 3870970486 Enrollment ID: O20220520001669 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita Smith, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Nikita Smith, 2901 Cedar St, Norwalk, IA 50211-9736 Ph: (877) 407-3422 |
Mrs. Sarah Marie Petullo, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2901 Cedar St, Norwalk, IA 50211 Phone: 877-407-3422 Fax: 877-407-4329 | |
Whitney Claire Struchen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Cedar St, Norwalk, IA 50211 Phone: 877-407-3422 Fax: 877-407-4329 | |
Alison Butikofer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Cedar St, Norwalk, IA 50211 Phone: 877-407-3422 Fax: 877-407-4329 | |
Tina Conyers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Cedar St, Norwalk, IA 50211 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ava Rowe, M.A CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2901 Cedar St, Norwalk, IA 50211 Phone: 877-407-3422 Fax: 877-407-4329 | |
Fox Rehab Slp Ia Pllc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2901 Cedar St, Norwalk, IA 50211 Phone: 877-407-3422 Fax: 877-407-4329 |