SHELLEY NICHOLLS


Address: 1450 Nw 10th Ave, Miami, FL 33136-1011
Phone: 3052433498

SHELLEY NICHOLLS (NPI# 1013424555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013424555
Entity Type Individual
Full Name SHELLEY NICHOLLS
Other Name SHELLEY HUGHES
Credential APRN
Practice Address 1450 Nw 10th Ave
Miami
FL 33136-1011
Mailing Address 1700 Nw 49th St Ste 125
Fort Lauderdale
FL 33309-3750
Practice Telephone 3052433498
Practice Fax Number 3052435791
Mailing Telephone 9547640921
Mailing Fax Number 9544677432
Enumeration Date 2018-01-05
Last Update Date 2020-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
APRN9267307 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
9267307 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1450 NW 10TH AVE
City MIAMI
State FL
Zip Code 33136-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467417204 Bresta Y Miranda-palma Internal Medicine 1450 Nw 10th Ave, Miami, FL 33136-1011 2006-04-17
1538794748 Maddison Nicole Saalinger Dietitian, Registered 1450 Nw 10th Ave, Miami, FL 33136-1011 2020-03-09
1942790613 Sebastiana Moraes Campos Nurse Practitioner 1450 Nw 10th Ave, Miami, FL 33136-1011 2018-05-17
1154706976 Mercy Molina Dietitian, Registered 1450 Nw 10th Ave, Miami, FL 33136-1011 2015-07-22
1851774988 Lisset Oropesa-gonzalez Nurse Practitioner 1450 Nw 10th Ave, Miami, FL 33136-1011 2015-07-07
1881010650 Ana Margarita Alvarez Gil Nurse Practitioner 1450 Nw 10th Ave, Miami, FL 33136-1011 2014-03-17
1639595630 Lisa Rafkin Dietitian, Registered 1450 Nw 10th Ave, Suite # 1006, Miami, FL 33136-1011 2014-03-14
1609291194 Amy Kimberlain Dietitian, Registered 1450 Nw 10th Ave, Miami, FL 33136-1011 2014-02-20
1497033500 Jackson Memorial Hospital Chronic Disease Hospital 1450 Nw 10th Ave, Suite 2054a, Miami, FL 33136-1011 2011-07-25
1841508355 University of Miami Clinic/Center 1450 Nw 10th Ave, Miami, FL 33136-1011 2010-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316573108 Alceste Villasuso Nurse Practitioner 951 Brickell Ave Apt 710, Miami, FL 33131-3933 2020-03-12
1205397460 Christelle Solange Nguewo Tchiendji Nurse Practitioner 9436 Sw 140th Ct, Miami, FL 33186-1280 2019-03-28
1245726728 Dixania Soto Batista Nurse Practitioner 15055 Sw 116th St, Miami, FL 33196-6802 2018-07-08
1629569298 Ginel Capdevila Nurse Practitioner 3100 Sw 62nd Ave Ste 3109, Miami, FL 33155-3009 2018-05-19
1356791883 Adianez L. Machin Nurse Practitioner 14220 Sw 177th Ter, Miami, FL 33177-2623 2016-06-15
1205285947 Mirna Payan-garcia Nurse Practitioner 1150 Nw 14th St Ste 207, Miami, FL 33136 2016-06-03
1609299015 Sharo Thampy Nurse Practitioner 7900 Nw 27th Ave Ste 50, Miami, FL 33147-4909 2014-01-22
1861770687 Luisa Fernanda Angel Nurse Practitioner 3100 Sw 62nd Avenue 2nd Floor, Miami Children's Hospital Cardiology Department, Miami, FL 33155 2011-07-27
1679898951 Claudia Preciado Garcia Nurse Practitioner 3215 Sw 62 Ave, Suite 3109, Miami, FL 33155 2010-03-30
1093802332 Rosa Maria Roche Nurse Practitioner 3200 Sw 60 Court, Miami, FL 33155 2006-10-06
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Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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