NICOLE MARIA DEGREG (NPI# 1225313331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225313331 |
Entity Type | Individual |
Full Name | NICOLE MARIA DEGREG |
Credential | RN, MSN, FNP-BC |
Practice Address |
1702 Grand Ave Cincinnati OH 45214-1502 |
Mailing Address |
3101 Burnet Ave Cincinnati OH 45229-3014 |
Practice Telephone | 5133634669 |
Practice Fax Number | 5133634608 |
Enumeration Date | 2011-10-20 |
Last Update Date | 2016-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 809192 | TX | Nursing Service Providers |
N | 163W00000X | Registered Nurse | RN.345715-COA1 | OH | Nursing Service Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP121035 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.12890-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1702 GRAND AVE |
City | CINCINNATI |
State | OH |
Zip Code | 45214-1502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598289753 | Fernando Xavier Rico-alarcon | Registered Nurse | 1702 Grand Ave, Cincinnati, OH 45214-1502 | 2017-07-31 |
1225550270 | Rose M Baz | Registered Nurse | 1702 Grand Ave, Cincinnati, OH 45214-1502 | 2017-07-12 |
1972905107 | Mary Rose Kahmann | Physical Therapist | 1702 Grand Ave, Cincinnati, OH 45214-1502 | 2014-09-18 |
1932501392 | Elizabeth Hammersmith | Occupational Therapist | 1702 Grand Ave, Cincinnati, OH 45214-1502 | 2014-09-17 |
1740681113 | Jill Garrett | Speech-Language Pathologist | 1702 Grand Ave, Cincinnati, OH 45214-1502 | 2014-09-04 |
1285980946 | City of Cincinnati | Clinic/Center | 1702 Grand Ave, Cincinnati, OH 45214-1502 | 2012-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144790627 | Theodore Roosevelt Smith | Licensed Practical Nurse | 830 Ezzard Charles Drive, Cincinnati, OH 45214 | 2018-11-28 |
1124501671 | Sheryl Genay Ralls | Licensed Practical Nurse | 830 Ezzard Charles Dr., Cincinnati, OH 45214 | 2018-09-11 |
1871918425 | Angelina Mary Vitucci | Occupational Therapist | 2145 Central Parkway, Cincinnati, OH 45214 | 2014-02-19 |
1275708190 | Maria Bernadette Johnson | Registered Nurse | 708 Derrick Turnbow, Cincinnati, OH 45214 | 2008-04-23 |
1144260035 | Patti Ann Ellison | Nurse Practitioner | 1616 Harrison Ave, Adapt for Women and Pathways for Women, Cincinnati, OH 45214 | 2006-06-08 |
1962920660 | Functional Interplay Therapy, LLC | Clinic/Center | 2145 Central Parkway, Suite 300, Cincinnati, OH 45214 | 2017-09-01 |
1215482732 | Carolyn Meder | Specialist/Technologist | 1555 Central Pkwy, Mercy Health, Cincinnati, OH 45214 | 2016-08-25 |
1730329962 | Tracey Renee Moore | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214 | 2009-02-27 |
1568912731 | Jraejah Warren | Dental Assistant | 5234 Woodford, New York, NY 45214-0003 | 2016-10-11 |
1548677164 | Tressa's Home Health Care | Home Health | 2068 Bickel Ave, Cincinnati, OH 45214-1110 | 2014-07-15 |
Find all providers in zip 45214 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
1225635584 | Charlene Hines | Nurse Practitioner | 495 Albion Ave, Cincinnati, OH 45246-4604 | 2020-10-08 |
1770199598 | Ashley Nicole Dishion | Nurse Practitioner | 3537 Greenview Way, Cincinnati, OH 45245-3367 | 2020-09-17 |
1023624814 | Sarah Taylor Kaiser | Nurse Practitioner | 6401 Timberhill Ct, Cincinnati, OH 45233-4576 | 2020-09-17 |
1881204501 | Carrie Ann Mofield | Nurse Practitioner | 3680 Jeffrey Ct, Cincinnati, OH 45236-1544 | 2020-08-06 |
1104452051 | Nicole Lavon-renee Campbell | Nurse Practitioner | 1130 Glenna Dr, Cincinnati, OH 45238-4338 | 2020-03-22 |
1487289591 | Whitney Ann Gallaher | Nurse Practitioner | 4217 Tower Ave, Cincinnati, OH 45217-4521 | 2020-03-09 |
1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
1598301756 | Danielle Miller | Nurse Practitioner | 10229 Winstead Ln, Cincinnati, OH 45231-2719 | 2019-11-22 |
1679124820 | Jennifer Ann Fenwick | Nurse Practitioner | 7907 Buckeye Cres, Cincinnati, OH 45243-1942 | 2019-09-27 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45214 |
Please comment or provide details below to improve the information on NICOLE MARIA DEGREG.
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.