FANIA MARIA NICOLAS (NPI# 1275052631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275052631 |
Entity Type | Individual |
Full Name | FANIA MARIA NICOLAS |
Credential | FNP |
Practice Address |
7501 Quaker Ave Lubbock TX 79424-3367 |
Mailing Address |
5219 City Bank Pkwy Ste 35 Lubbock TX 79407-3545 |
Practice Telephone | 0678833068 |
Practice Fax Number | 8067223861 |
Mailing Telephone | 8067610333 |
Enumeration Date | 2017-09-15 |
Last Update Date | 2019-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP134710 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7501 QUAKER AVE |
City | LUBBOCK |
State | TX |
Zip Code | 79424-3367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396748554 | Stephen G Dalton | Family Medicine | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2005-05-23 |
1902416597 | Sarah Ashely Cuneo | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2020-08-07 |
1831757764 | Jade Rhiannon Goen | Physician Assistant | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2019-06-05 |
1275040776 | Samantha Dawn Gooss | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424 | 2018-01-05 |
1366953374 | Justin Mark Hafner | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-10-17 |
1851814057 | Andie E Maldonado | Physician Assistant | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-07-19 |
1326419748 | Shaun Mantooth | Physician Assistant | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2015-10-12 |
1285062521 | Jennifer Galey | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424 | 2013-10-24 |
1467890822 | Benjamin Matthew Wolcott | Pediatrics | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2013-06-07 |
1386988731 | Hannah Rebong | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2012-11-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
Find all providers in zip 79424 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911859 | Amber Marie Bowman | Nurse Practitioner | 5106 59th St, Lubbock, TX 79414-4312 | 2020-10-29 |
1609475219 | Jonathan-michael Aaron Sisson | Nurse Practitioner | 7421 104th St, Lubbock, TX 79424-6079 | 2020-10-23 |
1174134753 | Rebecca Stephanie Castillo | Nurse Practitioner | 5528 109th St, Lubbock, TX 79424-7680 | 2020-08-16 |
1508487398 | Mark Angelo Padolina | Nurse Practitioner | 1101 Oshkosh Ave, Lubbock, TX 79416-3810 | 2020-05-03 |
1841826724 | Leticia Luna Flores Cooper | Nurse Practitioner | 2511 60th St, Lubbock, TX 79413-5641 | 2020-03-23 |
1952931693 | Camella Dawn Ladd | Nurse Practitioner | 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 | 2020-01-22 |
1962042598 | Wendy Geraldine Avalos | Nurse Practitioner | 9304 Primrose Ave, Lubbock, TX 79424-6799 | 2020-01-11 |
1619516325 | Jessica Krueger | Nurse Practitioner | 5502 103rd St, Lubbock, TX 79424-6417 | 2019-12-27 |
1417596438 | Alicia Michelle Powell | Nurse Practitioner | 6102 82nd St Ste 14, Lubbock, TX 79424-0840 | 2019-12-23 |
1376181537 | Ashley Nicole White | Nurse Practitioner | 5614 100th St, Lubbock, TX 79424-6268 | 2019-12-18 |
Find all providers in LUBBOCK |
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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.