NICOLE M HERRICK (NPI# 1104143924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104143924 |
| Entity Type | Individual |
| Full Name | NICOLE M HERRICK |
| Other Name | NICOLE N MAZZEO |
| Credential | P.A. |
| Practice Address |
2597 Schoenersville Rd Ste 100 Bethlehem PA 18017 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104028900 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059660 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2597 Schoenersville Rd Ste 100, Bethlehem, PA 18017 | 6104028900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184112146 | Nicole Herrick | Registered Nurse | 1238 Golden Gate Blvd, Mayfield Heights, OH 44124-1819 | 2018-04-25 |
| 1871153478 | Nicole Marie Herrick | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-06-17 |
| 1376033795 | Nicole Lilly Herrick | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # 8425, San Diego, CA 92103-1911 | 2018-05-10 |
| Street Address |
2597 SCHOENERSVILLE RD STE 100 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407167612 | Faisal Al-alim | Family Medicine | 2597 Schoenersville Rd Ste 100, Bethlehem, PA 18017-7325 | 2010-06-23 |
| 1073834768 | Rupam K Das | Orthopaedic Surgery | 2597 Schoenersville Rd Ste 100, Bethlehem, PA 18017-7325 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782648 | Emily A Hake | Physician Assistant | 801 Ostrum St Fl Street2, Bethlehem, PA 18015-1000 | 2019-10-21 |
| 1841767456 | Jason T Trahan | Physician Assistant | 1469 8th Avene, Bethlehem, PA 18018-2256 | 2018-11-01 |
| 1346753258 | Robert L Gonzalez | Physician Assistant | 801 Ostrum St Fl St2, Bethlehem, PA 18015-1000 | 2017-11-14 |
| 1073023990 | Shana E Peterson | Physician Assistant | 1342 Chelsea Ave, Bethlehem, PA 18018-2459 | 2017-10-05 |
| 1417466269 | Jeremy Griffis | Physician Assistant | 2101 Emrick Blvd Ste 101, Bethlehem, PA 18020-8040 | 2017-09-25 |
| 1023560059 | Brianna Taylor | Physician Assistant | 2571 Baglyos Cir Ste B29, Bethlehem, PA 18020-8050 | 2016-10-25 |
| 1609115161 | Ashley Nicole Pane | Physician Assistant | 236 Brodhead Rd, Bethlehem, PA 18017-8937 | 2013-02-04 |
| 1619092202 | John Paul Rose | Physician Assistant | St Luke's Hospital - Critical Care Division, 801 Ostrum Street, Bethlehem, PA 18015 | 2007-03-20 |
| 1396859062 | John D Page | Physician Assistant | Lvpg Expresscare Muhlenberg, 2649 Schoenersville Road Suite 201, Bethlehem, PA 18017-7316 | 2006-08-18 |
| 1902800394 | Josefina Andrea Valdivieso | Physician Assistant | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2005-06-13 |
| Find all providers in BETHLEHEM | ||||
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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.