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

Nicole Sullivan

Individual provider Speech-Language Pathologist · NPI 1790534857

Nicole Sullivan is a Qualified Speech Language Pathologist in Carmel, Indiana. Qualified in 2009, 17 years ago. Practices with Fox Rehab Indiana LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Licensed in
IN
In the registry since
2024

Practice location Address checks out

14901 Carey Rd
Carmel, IN 46033-6000
Phone: (877) 407-3422
Fax: (877) 407-4329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22005567A (IN)

Record details

NPI number1790534857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fox Rehab Indiana Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carmel