NICOLE MARIE WILSON HALL (NPI# 1235391483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235391483 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE WILSON HALL |
| Other Name | NICOLE MARIE WILSON |
| Credential | DO |
| Practice Address |
3301 W Gandy Blvd Tampa FL 33611-2931 |
| Practice Telephone | 8139251903 |
| Practice Fax Number | 8137498370 |
| Mailing Telephone | 8139251903 |
| Mailing Fax Number | 8137498370 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02003666A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3301 W GANDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456697 | Daron G. Diecidue | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2005-09-05 |
| 1295357051 | Jason Lee Kissick | Registered Nurse | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2020-05-14 |
| 1588225999 | Katina Kokkinos | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2019-06-26 |
| 1487139077 | Sydnee Prince Simpson | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2018-09-28 |
| 1770023277 | Mark Sherberg | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2017-03-02 |
| 1700320959 | Murilo Da Silveira | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-12-07 |
| 1710331889 | Christina Mary Tanaka | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-04-14 |
| 1891151387 | Megan Uribe | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-01-13 |
| 1063718013 | Synergic Healthcare Solutions LLC | Clinic/Center | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2011-02-08 |
| 1154634327 | Zachary Chase Thompson | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2010-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
| 1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
| 1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
| 1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
| 1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
| 1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
| 1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| Find all providers in TAMPA | ||||
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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.