NICOLE LYN SCOURAS (NPI# 1275817652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275817652 |
| Entity Type | Individual |
| Full Name | NICOLE LYN SCOURAS |
| Credential | FNP |
| Practice Address |
33205 Temecula Pkwy Temecula CA 92592 |
| Mailing Address |
33205 Temecula Pkwy Temecula CA 92592-9142 |
| Practice Telephone | 9513033164 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21340 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
806756 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2505 Santa Monica Blvd, Santa Monica, CA 904042011 | 3108286456 | |
| 5644 Mission Center Rd, San Diego, CA 921084328 | 8663892727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922261445 | Nicole Elaine Scouras | Anesthesiology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2008-07-03 |
| Street Address |
33205 TEMECULA PKWY |
| City | TEMECULA |
| State | CA |
| Zip Code | 92592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780284 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2006-06-17 |
| 1083225569 | Suzanne Charlotte Moore | Nurse Practitioner | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2020-08-10 |
| 1629693916 | Baharak Zarrabi | Pharmacist | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2020-06-11 |
| 1619514726 | Katelyn Paige Swafford | Pharmacist | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2019-12-08 |
| 1568022408 | Laura Minjin Yeo | Pharmacist | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2019-06-13 |
| 1568904506 | Ji Hye Yoon | Pharmacist | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2016-11-08 |
| 1326409806 | Melinda Chen Mclaughlin | Nurse Practitioner | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2016-03-11 |
| 1205174851 | Rebecca Ramirez Gonzalez | Nurse Practitioner | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2013-01-16 |
| 1962769109 | Lorraine Assumma | Registered Nurse | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2012-04-12 |
| 1891062402 | Tuong The Mai | Pharmacist | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
| 1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
| 1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
| Find all providers in zip 92592 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747082 | Eligio David Panganiban Soliman Jr. | Nurse Practitioner | 31515 Rancho Pueblo Rd Ste 205, Temecula, CA 92592-4837 | 2020-07-08 |
| 1669012571 | Shana Marie Henderson | Nurse Practitioner | 39301 Shree Rd, Temecula, CA 92591-7284 | 2020-01-08 |
| 1750943171 | Bridget Eileen Johnson | Nurse Practitioner | 46421 Canyon Crest Ct, Temecula, CA 92592-4219 | 2019-07-05 |
| 1386202877 | Victoria Rose Gulotta | Nurse Practitioner | 31162 Strawberry Tree Ln, Temecula, CA 92592-4182 | 2019-05-30 |
| 1790242303 | Dorie Michelle Love-ashby | Nurse Practitioner | 29811 Del Rey Rd, Temecula, CA 92591-1810 | 2019-03-01 |
| 1083198147 | Amanda Sawires Yager | Nurse Practitioner | 28360 Old Town Front St, #544, Temecula, CA 92593-7023 | 2018-09-24 |
| 1497258669 | Ngozi Chidiuto Christopher | Nurse Practitioner | 31493 Rancho Pueblo Rd Ste 107, Temecula, CA 92592-4833 | 2018-03-14 |
| 1306353172 | Rhona Mae Sitjar | Nurse Practitioner | 33205 Us Highway 79, Temecula, CA 92592-9142 | 2018-01-03 |
| 1861941403 | Corranda Kosciolek | Nurse Practitioner | 26531 Ynez Rd, Temecula, CA 92591-4630 | 2016-09-23 |
| 1972059921 | Salvatore Ausonio | Nurse Practitioner | 32487 Bergamo Ct, Temecula, CA 92592-3886 | 2016-08-30 |
| Find all providers in TEMECULA | ||||
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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.