Nikole A. Boland
NPI 1851025480ActiveIndividual· Speech-Language Pathologist· Stone Mountain, GA
Speech-Language Pathologist in Stone Mountain, Georgia, licensed in VA, GA and TX, with an NPI issued in July 2022. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1851025480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2022 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 2202011009 | VA |
| Speech-Language Pathologist | 235Z00000X | SLP011391 | GA |
| Speech-Language Pathologist | 235Z00000X | 122766 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (GA); Practitioner - Qualified Speech Language Pathologist (TX); Practitioner - Qualified Speech Language Pathologist (VA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
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