KRISTEN NICHOLS (NPI# 1043529886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043529886 |
Entity Type | Individual |
Full Name | KRISTEN NICHOLS |
Credential | MS, QMHP, CADC |
Practice Address |
325 Il Route 2 Dixon IL 61021-9118 |
Practice Telephone | 8152846611 |
Mailing Telephone | 8152846611 |
Enumeration Date | 2010-09-28 |
Last Update Date | 2014-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
25265 | IL | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
1447885322 | Kristen Elizabeth Nichols | Social Worker | 2277 Grand Ave, Baldwin, NY 11510-3148 | 2020-03-11 |
1972143816 | Kristen Michelle Nichols | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-08 |
1285285718 | Kristen Nichols | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-25 |
1265942486 | Kristen Ann Nichols | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2017-10-02 |
1710404702 | Kristen Busico Nichols | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-08-29 |
1053841064 | Kristen Marie Nichols | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A218, La Jolla, CA 92037-1711 | 2017-06-13 |
1063590727 | Kristen L. Nichols | Emergency Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
1467431874 | Kristen Benae Nichols | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2006-01-13 |
Street Address |
325 IL ROUTE 2 |
City | DIXON |
State | IL |
Zip Code | 61021-9118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922114115 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 325 Il Route 2, Dixon, IL 61021-9118 | 2006-08-21 |
1669073987 | Stephanie Ann Raimonde | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-11-03 |
1134728934 | Holly Noel Muntean | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-10-22 |
1467069864 | Stephanie Reitzel | Social Worker | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-09-29 |
1205442977 | Rebecca Rose Feick | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-09-18 |
1528672466 | Julie Lynn Kirchhoff | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-09-08 |
1558974576 | Lara Jean Petersen | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-08-28 |
1528671062 | Emily Sheaffer | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-08-25 |
1326665795 | Maryn E Palmer | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-07-01 |
1871124826 | Emily Marie Carroll | Licensed Practical Nurse | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-01-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
Find all providers in zip 61021 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902451669 | Angel Ann-marie Gatchel | Counselor | 715 Berkshire Ct, Dixon, CA 95620-2223 | 2019-08-08 |
1568021137 | Kim Miller | Counselor | 748 Timber Creek Rd, Dixon, IL 61021-9564 | 2019-06-07 |
1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
1821390972 | Stephanie Knight Englund | Counselor | 325 Rte 2, Dixon, IL 61021-9118 | 2010-11-23 |
1962524793 | Michael C Tucker | Counselor | 748 Timbercreek Road, Dixon, IL 61021 | 2007-04-04 |
1427117118 | Kelly L Burrow | Counselor | 325 Il Rt 2, Dixon, IL 61021 | 2006-12-08 |
1275133514 | Stephanie Mae Roman | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-10-27 |
1659913929 | Emma Swanson | Counselor | 922 Washington Ave, Dixon, IL 61021-1254 | 2019-10-08 |
1417517277 | Alison Danielle White | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2019-06-14 |
1295213882 | Jessica M Douglass | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2018-08-06 |
Find all providers in DIXON |
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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.