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

Individual provider Speech-Language Pathologist · NPI 1922653401

Nicole Renee Pelon is a Qualified Speech Language Pathologist in Chesapeake, Virginia. Qualified in 2010, 16 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2019
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Practice location Address checks out

912 Redstart Ave
Chesapeake, VA 23324-1840
Phone: (757) 636-6801
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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 2202005949 (VA)

Record details

NPI number1922653401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Functional Pathways Preferred Of Tennessee Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chesapeake