NICOLE MARIE DEWITT (NPI# 1194150565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194150565 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE DEWITT |
| Credential | L.M.T. |
| Practice Address |
842 2nd Ave Vernonia OR 97064-1008 |
| Practice Telephone | 9714098443 |
| Mailing Telephone | 9714098443 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16099 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON BOARD OF MASSAGE | 16099 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801331616 | Nicole Dewitt | Chiropractor | 4245 1st Ave Se Ste 5, Cedar Rapids, IA 52402-3169 | 2017-01-03 |
| 1669899977 | Nicole Juliana Dewitt | Counselor | 1200 N Perkins Rd, N16, Stillwater, OK 74075-7104 | 2014-03-25 |
| 1083850002 | Nicole Amber Dewitt | Nurse Anesthetist, Certified Registered | 4331 E Baseline Rd, Suite B105-625, Gilbert, AZ 85234-2961 | 2008-12-22 |
| 1063666006 | Nicole Joy Dewitt | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2008-11-04 |
| 1891840419 | Nicole Dewitt | Specialist | 10011 Euclid Ave, Cleveland, OH 44106-4701 | 2007-01-24 |
| Street Address |
842 2ND AVE |
| City | VERNONIA |
| State | OR |
| Zip Code | 97064-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285799569 | Marie Charlotte Krahn | Massage Therapist | 18731 Mellinger Rd, Vernonia, OR 97064 | 2006-12-27 |
| 1295120301 | Brandon Gilbertson | Specialist/Technologist | 1463 2nd Ave, Vernonia, OR 97064-1075 | 2015-04-06 |
| 1689881682 | Heather L Lewis | Massage Therapist | 847 Madison Ave, Vernonia, OR 97064-1106 | 2007-05-17 |
| 1710213202 | Carol Mcintyre | Acupuncturist | 786 Bridge St, Vernonia, OR 97064-1144 | 2009-10-19 |
| 1871028845 | Jennifer Hayes | Massage Therapist | 758 Weed Ave, Vernonia, OR 97064-1162 | 2017-04-26 |
| 1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
| 1902170251 | Verdura Family Wellness, Inc | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2012-03-05 |
| 1245500651 | Verdura Family Wellness, Inc | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2012-01-03 |
| 1689956138 | Fariba Safaiyan | Pharmacist | 622 Bridge St Ste B, Vernonia, OR 97064-1262 | 2011-09-11 |
| 1760596837 | Christopher Scheuerman | Dentist | 622 Bridge St, Vernonia Dental, Vernonia, OR 97064-1262 | 2006-08-18 |
| Find all providers in zip 97064 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871028845 | Jennifer Hayes | Massage Therapist | 758 Weed Ave, Vernonia, OR 97064-1162 | 2017-04-26 |
| 1548665508 | Massage By Erica | Massage Therapist | 56450 Nehalem Hwy S, Vernonia, OR 97064-9611 | 2014-11-01 |
| 1851658090 | Jenelle Noel Coca | Massage Therapist | 622 California Ave, Vernonia, OR 97064-6000 | 2012-04-12 |
| 1689881682 | Heather L Lewis | Massage Therapist | 847 Madison Ave, Vernonia, OR 97064-1106 | 2007-05-17 |
| 1285799569 | Marie Charlotte Krahn | Massage Therapist | 18731 Mellinger Rd, Vernonia, OR 97064 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
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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.