NICHOLE BONNIE GREGORY (NPI# 1295968717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295968717 |
| Entity Type | Individual |
| Full Name | NICHOLE BONNIE GREGORY |
| Other Name | NICHOLE BONNIE SWANSON |
| Credential | L.A.D.C. LICENSE ALC |
| Practice Address |
2170 North Platte Street Awareness Counseling Fremont NE 68025-2630 |
| Practice Telephone | 4027536440 |
| Practice Fax Number | 4027536445 |
| Mailing Telephone | (402) 753-6440 |
| Mailing Fax Number | 4027536445 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
857 | NE | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | P658 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13947938 | 01 |
| Street Address |
2170 NORTH PLATTE STREET AWARENESS COUNSELING |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1013416320 | Tammy Jo Broshious | Counselor | 512 E State St, Fremont, OH 43420-4259 | 2018-02-02 |
| 1770952475 | Yvette Augustine | Counselor | 4075 Tamayo St, Fremont, CA 94536-4625 | 2015-09-23 |
| 1518363548 | Lindsay Brundege | Counselor | 1420 E Military Ave, Fremont, NE 68025-5300 | 2014-11-19 |
| 1003186818 | Edgar T. Young | Counselor | 4219 Tiburon Dr, Fremont, CA 94555-3261 | 2012-01-10 |
| 1083905988 | Awareness Counseling | Counselor | 2170 N Platte Ave, Fremont, NE 68025-2630 | 2011-04-26 |
| 1932420643 | P & P Fabrication | Counselor | 92 W 5th St, Ste B, Fremont, NE 68025 | 2010-06-16 |
| 1023273521 | Sarah Magdalene Cady | Counselor | 513 N D St, Fremont, NE 68025-5051 | 2008-07-23 |
| 1457532921 | Paul Francisco | Counselor | 41299 Paseo Padre Pkwy, Apt. # 12, Fremont, CA 94539-4551 | 2007-11-26 |
| 1841488004 | Connie Jenkins | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2007-10-11 |
| Find all providers in FREMONT | ||||
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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.