CASEY NICHOLS (NPI# 1104435528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104435528 |
| Entity Type | Individual |
| Full Name | CASEY NICHOLS |
| Credential | PHARMD |
| Practice Address |
1500 14th St W Ste 150 Williston ND 58801-4080 |
| Mailing Address |
4915 11th Ave W Apt 405 Williston ND 58801-5365 |
| Practice Telephone | 7015727979 |
| Practice Fax Number | 7015727981 |
| Mailing Telephone | 4064986927 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PHA-PHA-LIC-6296 | MT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH6178 | ND | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558583088 | Casey A Nichols | Nurse Practitioner | 700 Sunset Dr Ste F, La Grande, OR 97850-1260 | 2007-05-03 |
| 1639698806 | Casey Michelle Nichols | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2017-09-19 |
| 1942754619 | Casey Nichols | Social Worker | Uab Community Psychiatry, 908 20th Street South Rm 479, Birmingham, AL 35294-0001 | 2016-08-10 |
| Street Address |
1500 14TH ST W STE 150 |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989349 | Brittany Wyndham | Pharmacist | 12935 Main Street, Williston, SC 29853 | 2018-01-04 |
| 1942664669 | Stacey Smith | Pharmacist | 124845 Main St, Williston, SC 29853-2711 | 2016-04-08 |
| 1891039533 | Molly Mix Lewis | Pharmacist | 2466 St George Rd, Cvs, Williston, VT 05495-7432 | 2012-11-19 |
| 1386936540 | Brian Bruyns | Pharmacist | 600 Blair Park Rd, Suite 195, Williston, VT 05495-7586 | 2011-05-06 |
| 1144528407 | Wanda Platt | Pharmacist | 12845 Main St, Williston, SC 29853-2711 | 2011-03-09 |
| 1528277001 | Thomas Patrick Ryan Jr. | Pharmacist | 863 Harvest Lane, Williston, VT 05495 | 2007-05-22 |
| 1992829097 | M Jacklynn Estes | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2007-03-16 |
| 1013062363 | Lisa J.w. Borreson | Pharmacist | 317 Main, Williston, ND 58801 | 2007-01-25 |
| 1720146897 | Barbara F. Underhill | Pharmacist | 1811 Crest St, Williston, ND 58801-3315 | 2006-12-04 |
| 1356302889 | Corey James Duteau | Pharmacist | 434 Hurricane Ln Ste 200, Williston, VT 05495-2073 | 2006-04-02 |
| Find all providers in WILLISTON | ||||
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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.