NICOLE ERICKSON (NPI# 1053853838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053853838 |
| Entity Type | Individual |
| Full Name | NICOLE ERICKSON |
| Practice Address |
2455 E Broadway Rd Unit 37 Mesa AZ 85204-1566 |
| Practice Telephone | 5094065380 |
| Mailing Telephone | 5094065380 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7917 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265876288 | Nicole Marie Erickson | Social Worker | 3006 Coy Ave, Kalamazoo, MI 49048-2278 | 2013-04-21 |
| 1013566306 | Nicole Erickson | Physical Therapist | 470 Garfield Ave, Evansville, WI 53536-1099 | 2019-09-09 |
| 1538714597 | Nicole Erickson | Occupational Therapist | 2001 Professional Pkwy Ste 220, Woodstock, GA 30188-6444 | 2019-08-07 |
| 1922595768 | Nicole Erickson | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2018-04-17 |
| 1669896791 | Nicole Erickson | Physical Therapist | 201 E Central Texas Expy, Suite 645, Harker Heights, TX 76548-1887 | 2014-02-10 |
| 1801127071 | Nicole Marie Erickson | Physician Assistant | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2010-01-27 |
| Street Address |
2455 E BROADWAY RD UNIT 37 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726037 | Rebecca Breanne Wilson | Specialist/Technologist | 1111 S Grenoble, Mesa, AZ 85208-7520 | 2020-10-04 |
| 1982211041 | Nina Strack | Specialist/Technologist | 2343 W Main St Apt 2082, Mesa, AZ 85201-9011 | 2020-09-23 |
| 1427676683 | Melissa Porter | Specialist/Technologist | 623 N Yale, Mesa, AZ 85213-6833 | 2020-07-13 |
| 1780202101 | Tori Bailey | Specialist/Technologist | 5437 E Forge Ave, Mesa, AZ 85206-2947 | 2020-07-13 |
| 1851927701 | Kassandra Montijo | Specialist/Technologist | 1751 E Grove Ave, Mesa, AZ 85204-6022 | 2020-03-22 |
| 1700410206 | Regina Pizzagoni | Specialist/Technologist | 743 N 57th Pl, Mesa, AZ 85205-6633 | 2020-02-24 |
| 1780225383 | Emma Catherine Preston | Specialist/Technologist | 948 S Horne, Mesa, AZ 85204-4122 | 2019-10-04 |
| 1407405004 | Ashton Parry | Specialist/Technologist | 708 W Lindner Ave, Mesa, AZ 85210-6838 | 2019-09-06 |
| 1295381614 | Kate Lyman | Specialist/Technologist | 4044 E Hale Cir, Mesa, AZ 85205-4033 | 2019-08-12 |
| 1457905374 | Yuliya Ignatyeva | Specialist/Technologist | 540 N May Apt 3097, Mesa, AZ 85201-4481 | 2019-07-29 |
| Find all providers in MESA | ||||
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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.