NICOLE S ROSS (NPI# 1053675652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053675652 |
| Entity Type | Individual |
| Full Name | NICOLE S ROSS |
| Credential | D.O. |
| Practice Address |
130 Pembroke Rd Concord NH 03301-5792 |
| Mailing Address |
Po Box 2032 Concord NH 03302-2032 |
| Practice Telephone | 6032250123 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
17652 | NH | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
252896 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346526 | Nicole Renae Ross | Technician | 1288 Mabie Cassity Rd, Mabie, WV 26278-7000 | 2020-08-11 |
| 1215584743 | Nicole Ross | Registered Nurse | 39 Weaver St, Rochester, NY 14621-3420 | 2019-08-20 |
| 1023184330 | Nicole Ross | Marriage & Family Therapist | 740 York Ave, Saint Paul, MN 55106-3730 | 2006-11-28 |
| 1740204171 | Nicole Evans Ross | Internal Medicine | 2131 Pace St, Covington, GA 30014-6652 | 2006-07-27 |
| 1619589413 | Nicole Lee Ross | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-08-21 |
| 1093356222 | Nicole Denise Ross | Nursing Care | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2019-09-29 |
| 1285191106 | Nicole Franklin Ross | Counselor | 18 Wedgefield Dr, Asheville, NC 28806-2226 | 2019-02-27 |
| 1841775079 | Nicole Ross | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-10-03 |
| 1063923613 | Nicole Brianne Ross | Nurse Practitioner | 131 Nw 100th Ave, Plantation, FL 33324-7034 | 2017-10-22 |
| 1811423858 | Nicole Ross | Family Medicine | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2017-05-11 |
| Street Address |
130 PEMBROKE RD |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-5792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477602795 | Robert F Spencer | Anesthesiology | 130 Pembroke Rd, Ste. 250, Concord, NH 03301-5792 | 2007-01-09 |
| 1912553165 | Amaris Jones | Counselor | 130 Pembroke Rd, Concord, NH 03301-5792 | 2019-08-14 |
| 1043787799 | Katherine Nee | Counselor | 130 Pembroke Rd, Concord, NH 03301-5792 | 2018-10-31 |
| 1487134144 | Drew Angelopoulos | Social Worker | 130 Pembroke Rd, Concord, NH 03301-5792 | 2018-08-21 |
| 1346736451 | Kathryn Mullaney | Social Worker | 130 Pembroke Rd, Concord, NH 03301 | 2018-07-02 |
| 1750822912 | Debora Barton | Counselor | 130 Pembroke Rd, Concord, NH 03301-5792 | 2017-03-20 |
| 1952702243 | Alexandra Mccluskey | Counselor | 130 Pembroke Rd, Concord, NH 03301 | 2014-09-06 |
| 1376957217 | Concord Pain Consultation Services, LLC | Pain Medicine | 130 Pembroke Rd, Suite 250, Concord, NH 03301-5792 | 2014-06-18 |
| 1174841563 | Emily Turcotte | Social Worker | 130 Pembroke Rd, Concord, NH 03301-5792 | 2010-05-10 |
| 1629266952 | Kathryn Starratt | Social Worker | 130 Pembroke Rd, Concord, NH 03301-5792 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
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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.