MENDOCINO NICOLE PEACOCK ADZAGAH, MS — NPI 1891360970 (Licensed & Credentialed Speech, Language and Hearing Service Providers in MURRAY, UT)

CMS-1500 Box 24J / 33a • NPI

1891360970

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

235Z00000X (CMS 15)

Licensed & Credentialed Speech, Language and Hearing Service Providers

Box 32 Service Location & ZIP+4

5770 S FASHION BOULEVARD, BUILDING 5 SUITE 210, MURRAY, UT, 84107

Official NPPES Practice Location

Practice Phone & Referral Fax

(833) 577-3422

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891360970 (MENDOCINO NICOLE PEACOCK ADZAGAH, MS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1891360970` (NPI-1 Individual Practitioner)
Provider / Legal Name	MENDOCINO NICOLE PEACOCK ADZAGAH, MS
Plain-English Specialty	Licensed & Credentialed Speech, Language and Hearing Service Providers NUCC Code: `235Z00000X` (Speech-Language Pathologist, )
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5770 S FASHION BOULEVARD, BUILDING 5 SUITE 210, MURRAY, UT, 84107
Practice Telephone / Fax	Tel: (833) 577-3422
Administrative Mailing Address	5770 S FASHION BLVD, MURRAY, UT, 84107-6330
Enumeration & Last Sync	Enumerated: 2021-05-21 \| CMS Record Updated: 2022-10-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5770 S FASHION BOULEVARD, BUILDING 5 SUITE 210, MURRAY, UT, 84107

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Plain-English Taxonomy & CMS Crosswalk (235Z00000X)

What Does Taxonomy Code 235Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 235Z00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 15 (Speech Language Pathologist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Speech-Language Pathologist, for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MENDOCINO NICOLE PEACOCK ADZAGAH, MS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: NM \| License: `CF7205` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MENDOCINO NICOLE PEACOCK ADZAGAH, MS (NPI #1891360970)