MS. NICOLE WATKINS (NPI# 1114492287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492287 |
| Entity Type | Individual |
| Full Name | MS. NICOLE WATKINS |
| Practice Address |
1766 Old Leland Rd Greenville MS 38703-2742 |
| Practice Telephone | 6625374976 |
| Practice Fax Number | 6625374977 |
| Mailing Telephone | 6625374976 |
| Mailing Fax Number | 6625374977 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MS | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020172 | Nicole N Watkins | Behavioral Analyst | 5700 Grelot Rd Apt 1113, Mobile, AL 36609-3633 | 2020-07-14 |
| 1295212298 | Nicole Marie Watkins | Behavior Technician | 4152 30th Ave S Ste 102, Fargo, ND 58104-8403 | 2018-07-23 |
| 1952310765 | Nicole Frank Watkins | Physical Therapist | 4624 Summerdale Dr, Milton, FL 32571-1368 | 2006-08-08 |
| Street Address |
1766 OLD LELAND RD |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1861836132 | Restorations Adult Daycare | PACE Provider Organization | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| 1194808675 | W & R Inc | Durable Medical Equipment & Medical Supplies | 1221 East Union Street, Greenville, MS 38703 | 2006-10-20 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680786 | Art Enterprise of Pitt Co. | Assisted Living Facility | 110 Pearl Dr, Greenville, NC 27834-8517 | 2016-02-24 |
| 1740668755 | Broadway Manor Limited Liability | Assisted Living Facility | 446 N Broadway Street, Greenville, MS 38701-2552 | 2015-05-11 |
| 1205249927 | Eastside Manor Inc. Dba Southern Oaks | Assisted Living Facility | 120 Roper Mountain Road Ext, Greenville, SC 29615-4823 | 2014-06-10 |
| 1710390810 | Gahcr II Greenville Alf Trs Sub, LLC | Assisted Living Facility | 605 S Dewey St, Greenville, IL 62246-2296 | 2014-06-05 |
| 1366764227 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1401 N Broadway St, Greenville, OH 45331-4300 | 2010-02-19 |
| 1184860918 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2105 W Arlington Blvd, Greenville, NC 27834-5744 | 2008-12-29 |
| 1093967218 | Cascades Nursing, LLC | Assisted Living Facility | 10 Fountainview Terrace, Greenville, SC 29607-4033 | 2008-10-21 |
| 1285821595 | Assisted Living Concepts Inc | Assisted Living Facility | 1275 Northview Drive, Greenville, OH 45331 | 2007-10-01 |
| 1093900425 | Emerald Glen Managment | Assisted Living Facility | 605 Dewey St, Greenville, IL 62246-2296 | 2007-09-10 |
| 1104946433 | Rosa Bradley Home for Adults | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27835 | 2007-03-30 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on MS. NICOLE WATKINS.
| 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.