NICOLE ROSE KNISLEY (NPI# 1194011320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194011320 |
| Entity Type | Individual |
| Full Name | NICOLE ROSE KNISLEY |
| Credential | PA-C |
| Practice Address |
1600 S Canton Center Rd #140 Canton MI 48188-1992 |
| Practice Telephone | 7343987561 |
| Practice Fax Number | 7343987566 |
| Mailing Telephone | 7343987561 |
| Mailing Fax Number | 7343987566 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2014-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006025 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 S CANTON CENTER RD #140 |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314948 | David Howard Seaman | Specialist | 1600 S Canton Center Rd, Ste 360, Canton, MI 48188-0004 | 2005-05-24 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1750839882 | Ronald P Adelman Dpm Pllc | Podiatrist | 1600 S Canton Center Rd, #2200, Canton, MI 48188-1992 | 2016-09-19 |
| 1275984239 | Farnaz Adibi | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2016-06-30 |
| 1982051215 | Iha Health Services Corporation | Pediatrics | 1600 S Canton Center Rd, Suite 200, Canton, MI 48188-1992 | 2016-05-17 |
| 1659760361 | Diabetes, Thyroid & Endocrinology Clinic Pllc | Internal Medicine | 1600 S Canton Center Rd, Suite 2200, Canton, MI 48188-1992 | 2015-01-19 |
| 1831533686 | Todd Rojaih Mcherron Jr. | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2013-04-24 |
| 1619239043 | Dhwani Patel | Physician Assistant | 1600 S Canton Center Rd, Suite 140, Canton, MI 48188-1992 | 2012-06-12 |
| 1417245515 | Raza Ali | Family Medicine | 1600 S Canton Center Rd, Suite 1200, Canton, MI 48188-1992 | 2011-07-11 |
| 1750670204 | St Joseph Mercy Hospital | Emergency Medicine | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1740684083 | Nemi Thakker | Physician Assistant | 1351 Centennial Ct, Canton, MI 48187-5805 | 2014-10-15 |
| 1093047474 | Kirby Brown Reinecke | Physician Assistant | 120 Oakside Ct, Suite H, Canton, GA 30114-2471 | 2010-02-09 |
| 1578784013 | Aimee M Mitchell | Physician Assistant | 130 Oakside Court, Ste A Marietta Dermatology Associates Pa, Canton, GA 30114 | 2007-05-01 |
| 1447390315 | Morgan P Bowler | Physician Assistant | 460 Northside Cherokee Blvd Ste 450, Canton, GA 30115-8020 | 2007-02-08 |
| 1821052440 | James Willard Gilson | Physician Assistant | 6200 N Haggerty Rd, Canton, MI 48187 | 2006-04-12 |
| 1134188105 | Eddy Toussaint | Physician Assistant | 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 | 2006-03-20 |
| 1255330098 | Stephen P Hinman | Physician Assistant | 205 State Street Road, Canton, NY 13617 | 2005-07-14 |
| 1467458612 | Barbara Jo Bizub | Physician Assistant | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | 2005-06-22 |
| 1518521145 | Gabriel Martin Ibarra | Physician Assistant | 112 Southlake Cir, Canton, MS 39046-5368 | 2019-04-29 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on NICOLE ROSE KNISLEY.
| 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.