THERESA LOUISE NICKENS (NPI# 1134626732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134626732 |
| Entity Type | Individual |
| Full Name | THERESA LOUISE NICKENS |
| Practice Address |
5800 Marshall Ave Newport News VA 23605-2420 |
| Practice Telephone | 7572472567 |
| Mailing Telephone | 7572472567 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813000921 | VA | Behavioral Health & Social Service Providers |
| Street Address |
5800 MARSHALL AVE |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23605-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699954719 | Alissa Siemers | Specialist/Technologist | 5800 Marshall Ave, Newport News, VA 23605-2420 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104165703 | First Choice Companion Service, LLC | In Home Supportive Care | 709 Austin Court, Newport News, VA 23605 | 2013-02-04 |
| 1679869036 | Sailaja Dandamudi | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2011-06-23 |
| 1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
| 1316105968 | Mila-jane Lovejoy | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605 | 2008-05-30 |
| 1073660189 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 New Market Drive North, Hampton, VA 23605 | 2007-01-04 |
| 1558702159 | Olisaemeka Ifejika Achike | Internal Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-07-11 |
| 1710220132 | Ashly Nicole Hardin | Family Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-04-03 |
| 1366786774 | Wal-mart Stores East Lp | Technician/Technologist | 6111 Jefferson Ave, Newport News, VA 23605 | 2012-11-26 |
| 1518222785 | Claire Han Li | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-07-12 |
| 1396016838 | Chang O Son | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-01-13 |
| Find all providers in zip 23605 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111686 | Rwanda Goolsby | Psychologist | 853 Harpersville Rd, Newport News, VA 23601-1304 | 2018-04-10 |
| 1083116313 | Amber Berkley Thomas | Psychologist | 4200 Marshall Ave, Newport News, VA 23607-2302 | 2018-03-02 |
| 1801398136 | Catherine Womack Turner | Psychologist | 855 Lucas Creek Rd, Newport News, VA 23608-3406 | 2018-03-02 |
| 1780186320 | Anne Hearth | Psychologist | 185 Richneck Rd, Newport News, VA 23608-3009 | 2018-02-28 |
| 1336649185 | Laura Gorenc | Psychologist | 1712 Chestnut Ave, Newport News, VA 23607-5914 | 2018-02-19 |
| 1902306681 | Christine Eagan | Psychologist | 17346 Warwick Blvd, Newport News, VA 23603-1323 | 2018-02-19 |
| 1275032104 | Katrina Andre Dolak | Psychologist | 1241 Gatewood Rd, Newport News, VA 23601-2313 | 2018-02-06 |
| 1386143337 | Brady Leigh Kutz | Psychologist | 400 Atkinson Way, Newport News, VA 23608-3647 | 2018-02-06 |
| 1457850745 | Maryjo Tyson | Psychologist | 13460 Woodside Ln, Newport News, VA 23608-1364 | 2018-02-02 |
| 1003303629 | Stephanie Manning Campbell | Psychologist | 1501 Kiln Creek Pkwy, Newport News, VA 23602-9665 | 2018-04-19 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23605 |
Please comment or provide details below to improve the information on THERESA LOUISE NICKENS.
| 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.