PATRICK JOSEPH MCNICHOLAS (NPI# 1073124228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073124228 |
| Entity Type | Individual |
| Full Name | PATRICK JOSEPH MCNICHOLAS |
| Practice Address |
2018 Western Ave Knoxville TN 37921-5718 |
| Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
| Practice Telephone | 8655440406 |
| Practice Fax Number | 8655440480 |
| Mailing Telephone | 4233179344 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2018 WESTERN AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298031 | Tammy Renee Feehan | Pediatrics | 2018 Western Ave, Knoxville, TN 37921-5718 | 2005-07-12 |
| 1295335396 | Britney Lashea Love | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-28 |
| 1518564269 | Amanda Ashley Collazo | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1548867203 | Rachel Marie Koch | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1881209864 | Roger Mitchell Nooe Jr. | Social Worker | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-09-15 |
| 1770196859 | Kerri Dominique Harris | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-28 |
| 1932710217 | Madeline Elyse Chelko | Registered Nurse | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-11 |
| 1831708601 | Anne Elise Russell | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-28 |
| 1790393957 | Sydney Taylor Younginer | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-14 |
| 1780292938 | Courtney Bramblett Rodgers | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730849 | William Trey E Johnson IIi | Student in an Organized Health Care Education/Training Program | 2930 Beaverwood Dr, Knoxville, TN 37918-4606 | 2020-08-14 |
| 1801417613 | Andrea Nicole Overman | Student in an Organized Health Care Education/Training Program | 10329 Boston Ln, Knoxville, TN 37932-2145 | 2020-05-04 |
| 1851910749 | Ahmed Hussein | Student in an Organized Health Care Education/Training Program | 1712 Wynrush Cir, Knoxville, TN 37923-7316 | 2020-04-11 |
| 1316575806 | Joshua Logan Pickett | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy Ste 127, Knoxville, TN 37920-1511 | 2020-03-30 |
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1750937520 | Alykhan Moez Premji | Student in an Organized Health Care Education/Training Program | 10900 Hunters Knoll Ln, Knoxville, TN 37932-1148 | 2019-08-16 |
| 1659832962 | Marta R Hernandez-hermann | Student in an Organized Health Care Education/Training Program | 203a Alba Street, Knoxville, PA 16928 | 2019-03-28 |
| 1861957904 | Warren Phillips | Student in an Organized Health Care Education/Training Program | 3115 Culpepper Rd, Knoxville, TN 37917-3520 | 2019-02-03 |
| 1518433713 | Katelyn Nicole Gibbs | Student in an Organized Health Care Education/Training Program | 9015 Richfield Ln, Knoxville, TN 37924-4580 | 2018-10-16 |
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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.