JACQUELYN D NICHOLS (NPI# 1225570633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225570633 |
| Entity Type | Individual |
| Full Name | JACQUELYN D NICHOLS |
| Credential | PA-C |
| Practice Address |
824 Illinois Ave Stevens Point WI 54481-3112 |
| Practice Telephone | 7153427500 |
| Mailing Telephone | 7153427500 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006030 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
824 ILLINOIS AVE |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053626 | Lynn B Kohlmeier | Pediatrics | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2005-09-14 |
| 1427618487 | Alicia Wojtalewicz | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-06-20 |
| 1487212486 | Ascension St Michael's Hospital, Inc | Technician/Technologist | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-06-04 |
| 1275090169 | Michelle Whitehouse | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-02-27 |
| 1326524919 | Marie Beranek | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-07-17 |
| 1629570890 | Lori Lenhard | Counselor | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-03-05 |
| 1013454164 | Dessia J Laxton-reinke | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2017-01-27 |
| 1770987299 | Kali Southworth | Physician Assistant | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2014-10-13 |
| 1609281567 | Shayna Shackford | Family Medicine | 824 Illinois Ave, Stevens Point, WI 54481 | 2014-06-30 |
| 1689091233 | Joelle Frank | Dietitian, Registered | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2014-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| 1124072889 | Ernestine A Wagner | Physician Assistant | 2417 Post Road, Building A, Stevens Point, WI 54481 | 2006-05-19 |
| 1043855760 | Ann Weisman | Physician Assistant | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2019-11-18 |
| 1558839407 | Timothy Rescigno | Physician Assistant | 2417 Post Rd, Stevens Point, WI 54481-6124 | 2018-11-08 |
| 1144714650 | Ashley Rae Wenninger | Physician Assistant | 5412 Us Highway 10 E, Stevens Point, WI 54482 | 2018-06-18 |
| 1225522733 | Bridget Kilbride | Physician Assistant | 5501a Vern Holmes Dr, Stevens Point, WI 54482 | 2018-06-18 |
| 1659864940 | Kristin Renee Erickson | Physician Assistant | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2018-06-11 |
| 1073037164 | Breanne Leigh Ceranske | Physician Assistant | 5501a Vern Holmes Dr, Stevens Point, WI 54482-9791 | 2017-07-31 |
| 1770987299 | Kali Southworth | Physician Assistant | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2014-10-13 |
| 1972937886 | Gavin J Schaberg | Physician Assistant | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2013-08-27 |
| Find all providers in STEVENS POINT | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
Please comment or provide details below to improve the information on JACQUELYN D NICHOLS.
| 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.