Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Marie Terado, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1962002949

Mrs. Nicole Marie Terado, MACCC-SLP is a Qualified Speech Language Pathologist in Richmond, Virginia. Qualified in 2012, 14 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in New Jersey and Virginia.

Years since qualifying
14
Licensed in
NJ, VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

12401 Gayton Rd
Richmond, VA 23238-2291
Phone: (804) 741-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202009612 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS00739700 (NJ)

Record details

NPI number1962002949
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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