Mrs Nicki Jo Theodoridis, MED,CCC-SLP in Edmond, OK

Mrs Nicki Jo Theodoridis, MED,CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Edmond, Oklahoma. Her current practice location is 715 Glenridge Dr, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (816) 753-5459.

Mrs Nicki Jo Theodoridis is licensed to practice in Oklahoma (license number 996) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932653789.

Contact Information

	Mrs Nicki Jo Theodoridis, MED,CCC-SLP
	715 Glenridge Dr, Edmond, OK 73013-1824
	(816) 753-5459
	(816) 753-5119

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicki Jo Theodoridis
Gender	Female
Speciality
Experience	Years
Location	715 Glenridge Dr, Edmond, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Nicki Jo Theodoridis attended and graduated from in

NPI Data:

NPI Number: 1932653789
Provider Enumeration Date: 08/10/2016
Last Update Date: 08/10/2016

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Nicki Jo Theodoridis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932653789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2016009648 (Missouri)	Secondary
235Z00000X	Speech-language Pathologist	996 (Oklahoma)	Primary
235Z00000X	Speech-language Pathologist	3903 (Kansas)	Secondary

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. Mrs Nicki Jo Theodoridis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Nicki Jo Theodoridis, MED,CCC-SLP 715 Glenridge Dr, Edmond, OK 73013-1824 Ph: (816) 753-5459	Mrs Nicki Jo Theodoridis, MED,CCC-SLP 715 Glenridge Dr, Edmond, OK 73013-1824 Ph: (816) 753-5459

Reviews and Comments

Speech-Language Pathologist in Edmond, OK

Sensational Kids Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristol Park Blvd, Edmond, OK 73013 Phone: 405-840-1686
Chat Speech And Language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1709 Harvest Ln, Edmond, OK 73003 Phone: 918-520-9373
Cheryl Mcbrayer, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2613 Summerfield Dr, Edmond, OK 73012 Phone: 405-420-7882
Mrs. Jessica Alexis Elliott, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2337 Nw 159th Ter, Edmond, OK 73013 Phone: 405-596-7847
Jennifer Moore, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Boulevard, Edmond, OK 73034 Phone: 405-285-6765
Allison Marie Meier, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2100 Ne 140th St, Edmond, OK 73013 Phone: 405-608-8020
Teresa Harkey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristol Park Blvd, Edmond, OK 73013 Phone: 405-610-1909

Mrs Nicki Jo Theodoridis, MED,CCC-SLP - Medicare Speech-Language Pathologist in Edmond, OK