NICOLE CONKLIN (NPI# 1316409212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316409212 |
| Entity Type | Individual |
| Full Name | NICOLE CONKLIN |
| Practice Address |
7610 40th St W Ste 200 University Place WA 98466-3834 |
| Practice Telephone | 2535077231 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1740724921 | Nicole Conklin | Behavior Technician | 38 Schuyler Dr, Commack, NY 11725-4019 | 2016-12-07 |
| 1164858023 | Nicole Ann Conklin | Pharmacist | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2013-09-23 |
| 1003241555 | Nicole Renee Conklin | Social Worker | 9040 Jackson Ave, Tacoma, WA 98431-6806 | 2013-09-03 |
| Street Address |
7610 40TH ST W STE 200 |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215203393 | Jennifer Michelle Lowe | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2012-03-22 |
| 1104450915 | Zoya Bustamante | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-03-02 |
| 1184258394 | Katie Eromae | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-02-26 |
| 1639728934 | Karen Martha Lewand | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2019-09-09 |
| 1407400237 | Ella Hatfield | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2019-07-30 |
| 1619529419 | Natalie Getty | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2019-07-11 |
| 1952966327 | Tyler Shaquille Beauchamp | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3834 | 2019-05-01 |
| 1114580610 | Tatiana Rodriguez | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3834 | 2019-04-19 |
| 1740673037 | Jessica Joy Myers | Counselor | 7610 40th St W Ste 200, University Place, WA 98466 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700307410 | Jessica Alejandra Gudino | Peer Specialist | 7710 40th St W Ste 300, University Place, WA 98466-3112 | 2017-07-03 |
| 1104450915 | Zoya Bustamante | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-03-02 |
| 1184258394 | Katie Eromae | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-02-26 |
| 1124664495 | Danielle Konicek | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
| 1922644202 | James Monh | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
| 1376186577 | Lancy Canley | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-21 |
| 1457994659 | Braden Jeffry Adams-lewandowski | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-21 |
| 1326697095 | Justi Pfutzenreuter | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-09-05 |
| 1124673686 | Destiny Jane Marie Baer | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-08-01 |
| 1306499330 | Carrie Scholastica Fraga | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-07-18 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on NICOLE CONKLIN.
| 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.