MS. PAMELA JEANNE NICODEMUS (NPI# 1023093911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023093911 |
| Entity Type | Individual |
| Full Name | MS. PAMELA JEANNE NICODEMUS |
| Credential | MS, APRN, BC |
| Practice Address |
308 Seneca St Oil City PA 16301-1378 |
| Practice Telephone | 8146768285 |
| Practice Fax Number | 8146763382 |
| Mailing Telephone | 8146768285 |
| Mailing Fax Number | 8146763382 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN179624L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
308 SENECA ST |
| City | OIL CITY |
| State | PA |
| Zip Code | 16301-1378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932161387 | Diane Marie Knoch-morrison | Nurse Practitioner | 308 Seneca St, Oil City, PA 16301-1378 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239855 | Darling Apothecary, LLC | Pharmacy | 811 Grandview Rd, Ste 200, Oil City, PA 16301 | 2019-08-06 |
| 1861859753 | Michael Hopwood | Counselor | 815 Grandview Road, Oil City, PA 16301 | 2016-01-22 |
| 1639544430 | Doni Nicholson | Speech-Language Pathologist | 10 Votech Dr., Oil City, PA 16301 | 2015-12-04 |
| 1083086672 | Golden Living Oil City | Skilled Nursing Facility | 1293 Grandview Road, Oil City, PA 16301 | 2015-10-22 |
| 1235505157 | Mary Radaker | Counselor | 370 North Seneca St, Oil City, PA 16301 | 2015-08-14 |
| 1063797025 | June Marie Rice | Counselor | 337 Old Kahle Rd, Oil City, PA 16301 | 2011-10-20 |
| 1881982056 | Daniel James Hughes | Physical Therapist | 10 Vo-tech Drive, Oil City, PA 16301 | 2011-07-21 |
| 1376789214 | Thomas Organization, LLC | Foster Care Agency | 302 Seneca Street, Seneca Centre 2nd Floor, Oil City, PA 16301 | 2008-12-24 |
| 1013035161 | Family Service and Children's Aid Society of Venango County | Community/Behavioral Health | 29 Pearl Avenue, Oil City, PA 16301 | 2007-03-27 |
| 1013074426 | Leon S Kulinski | Dentist | 207 Center Street, Oil City, PA 16301 | 2007-01-03 |
| Find all providers in zip 16301 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598073 | Nurse Therapy LLC | Clinical Nurse Specialist | 375 Floral Ave Ste 108, Chambersburg, PA 17201-3443 | 2018-12-04 |
| 1881164358 | Theresa Ngozi Adigwu | Clinical Nurse Specialist | 2208 Chatham Way, Harrisburg, PA 17110-3959 | 2018-11-27 |
| 1417276825 | Nancy Vanore | Clinical Nurse Specialist | 724 Conestoga Rd, Bryn Mawr, PA 19010-1256 | 2010-05-25 |
| 1114120326 | Connie Piotrowski Eriksson | Clinical Nurse Specialist | 252 W Swamp Rd Ste 36, Doylestown, PA 18901-2465 | 2007-06-06 |
| 1891839056 | Gail Patricia Detweiler-shostak | Clinical Nurse Specialist | 50 Colwell St, Burgettstown, PA 15021-2361 | 2007-02-19 |
| 1740386937 | Kathryn Jean Gress | Clinical Nurse Specialist | The Gress Mountain Ranch 3264 Highland Road, Orefield, PA 18069-2606 | 2006-09-15 |
| 1558313031 | Barbara A. Hyatt | Clinical Nurse Specialist | 104 Commons Ct, Chadds Ford, PA 19317-9708 | 2006-05-16 |
| 1104887702 | Wendy Nuss Zubenko | Clinical Nurse Specialist | 12300 Perry Highway, Suite 204, Wexford, PA 15090-7612 | 2006-03-31 |
| 1396224895 | Elizabeth A Adwa | Clinical Nurse Specialist | 802 New Holland Ave Ste 100, Lancaster, PA 17602-2288 | 2018-08-07 |
| 1942700356 | Mia Sage Guy | Clinical Nurse Specialist | 620 Washington St, Huntingdon, PA 16652-1722 | 2018-02-13 |
| Find all providers with the same taxonomy | ||||
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| 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.