NICOLE D HARRIS (NPI# 1306000708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306000708 |
| Entity Type | Individual |
| Full Name | NICOLE D HARRIS |
| Other Name | NICOLE D COTTMON |
| Credential | MD |
| Practice Address |
1660 Prudential Dr Ste 400 Jacksonville FL 32207-8188 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9043960000 |
| Practice Fax Number | 9043965206 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME109239 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TRN 10313 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497257562 | Nicole Harris | Licensed Practical Nurse | 419 E Miller St, Newark, NY 14513-1563 | 2018-03-06 |
| 1184123523 | Nicole Allenia Harris | Dietitian, Registered | 9910 Huebner Rd Ste 250, San Antonio, TX 78240-1375 | 2018-02-11 |
| 1588172738 | Nicole Harris | Licensed Practical Nurse | 19716 Voiland St, Roseville, MI 48066-1193 | 2018-01-22 |
| 1508376070 | Nicole Janelle Harris | Social Worker | 31078 Hoover Rd, Warren, MI 48093 | 2017-10-10 |
| 1063959583 | Nicole Harris | Behavior Technician | 88 Roosevelt Ave, #205, Carteret, NJ 07008-2582 | 2017-01-23 |
| 1275809360 | Nicole J Harris | Social Worker | 5951 Fairington Farms Ln, Lithonia, GA 30038-1545 | 2012-03-22 |
| 1306116504 | Nicole Harris | Massage Therapist | 13606 58th St Se, Snohomish, WA 98290-9403 | 2012-01-04 |
| 1700077591 | Nicole Blackwelder Harris | Pharmacist | 4305 Back Creek Church Rd, Charlotte, NC 28213-5249 | 2007-08-06 |
| 1053930453 | Nicole Harris | Behavior Technician | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2020-04-15 |
| 1730729336 | Nicole Jane Harris | Nurse Practitioner | 7343 Lake St, River Forest, IL 60305-2206 | 2020-01-10 |
| Street Address |
1660 PRUDENTIAL DR STE 400 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326016478 | Sharon L. Reinertsen Garland | Family Medicine | 1660 Prudential Dr Ste 400, Jacksonville, FL 32207-8188 | 2006-03-14 |
| 1023424587 | William Graham Claytor | Nurse Practitioner | 1660 Prudential Dr Ste 400, Jacksonville, FL 32207-8188 | 2014-07-05 |
| 1386826683 | Baptist Primary Care Inc | Internal Medicine | 1660 Prudential Dr Ste 400, Jacksonville, FL 32207-8188 | 2007-11-29 |
| 1629118484 | Joseph J Czerkawski Jr. | Internal Medicine | 1660 Prudential Dr Ste 400, Jacksonville, FL 32207-8188 | 2007-02-08 |
| 1972571156 | Alejandro I Traveria | Internal Medicine | 1660 Prudential Dr Ste 400, Jacksonville, FL 32207 | 2006-03-14 |
| 1700854890 | Robert E Rosemund | Internal Medicine | 1660 Prudential Dr Ste 400, Jacksonville, FL 32207-8188 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on NICOLE D HARRIS.
| 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.