Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole J Ryan

Individual provider Speech-Language Pathologist · NPI 1881369817

Nicole J Ryan is a Qualified Speech Language Pathologist in Virginia Beach, Virginia. Qualified in 2021, 5 years ago. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

4622 Jericho Rd
Virginia Beach, VA 23462-2225
Phone: (757) 648-3320
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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 2202010723 (VA)

Record details

NPI number1881369817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address40 Rose Ave, Springfield, NJ 07081-1721

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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