NICOLE CHURCHILL (NPI# 1083232532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083232532 |
| Entity Type | Individual |
| Full Name | NICOLE CHURCHILL |
| Practice Address |
884 W Park Ave Port Townsend WA 98368-2273 |
| Mailing Address |
Po Box 565 Port Townsend WA 98368-0565 |
| Practice Telephone | 3603850321 |
| Mailing Telephone | 3603850321 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228353 | Nicole Churchill | Licensed Practical Nurse | 3309 N River Rd, Fort Gratiot, MI 48059-4227 | 2018-03-14 |
| 1518336999 | Nicole Churchill | Licensed Practical Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-16 |
| 1891042792 | Nicole Churchill | Pharmacist | 4000 Monument Rd, Philadelphia, PA 19131-1600 | 2012-08-09 |
| Street Address |
884 W PARK AVE |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386618254 | Donette Boyett | Counselor | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2006-02-15 |
| 1124627773 | Angela Chloea Gunnoe | Counselor | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-10-23 |
| 1275147415 | Sarah Lenae Mulitauopele | Counselor | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-09-04 |
| 1386257491 | Tara Leila Scott | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-08-28 |
| 1053929414 | Zachary D Mangum | Registered Nurse | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-07-21 |
| 1497373096 | Claire M Chambers | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-07-09 |
| 1720623473 | Tamera Catherine Royalty | Registered Nurse | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2019-11-16 |
| 1740825819 | Marrisa L Shaw | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2019-11-13 |
| 1003459405 | David Arthur Hall | Registered Nurse | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2019-10-18 |
| 1134774979 | Alison M Fulton | Counselor | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| 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 |
|---|---|---|---|---|
| 1386257491 | Tara Leila Scott | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-08-28 |
| 1497373096 | Claire M Chambers | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2020-07-09 |
| 1740825819 | Marrisa L Shaw | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2019-11-13 |
| 1881246932 | Monica Bell | Student in an Organized Health Care Education/Training Program | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
| 1942800362 | Pratishtha Chhabra | Student in an Organized Health Care Education/Training Program | 1727 14th Ln Ne, Issaquah, WA 98029-7637 | 2020-10-26 |
| 1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
| 1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
| 1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1174139596 | Kelsey Yared | Student in an Organized Health Care Education/Training Program | 11914 59th Ave W, Mukilteo, WA 98275-5569 | 2020-09-21 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
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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.