IndividualActive
Nikki Martin, M.S. CCC-SLP
NPI 1104019256 · Speech-Language Pathologist · Pace, FL
Provider details
- NPI number
- 1104019256
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA9778 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4273 Dana St
Pace, FL 32571-2009
Phone: (850) 865-3981
Fax: (866) 675-6298
Street-level locationGet directions
Mailing address
4273 Dana St
Pace, FL 32571-2009
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2025-09-20
- Certified
- 2025-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.