NICOLE MARIE VANDEHURST (NPI# 1316578701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316578701 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE VANDEHURST |
| Credential | MA |
| Practice Address |
1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305 |
| Mailing Address |
2795 Springwood Dr South Lake Tahoe CA 96150-2815 |
| Practice Telephone | 5305737956 |
| Mailing Telephone | 7078490128 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1900 LAKE TAHOE BLVD |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942304365 | Sabrina Owen | Marriage & Family Therapist | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 | 2006-09-08 |
| 1477169605 | Keith John Tanenbaum | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2020-09-22 |
| 1336796838 | Jacob Daniel Rodgers | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2019-08-20 |
| 1962057398 | Anna Kathryn Lee | Marriage & Family Therapist | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2019-08-02 |
| 1629583802 | Jake Diaz | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-12-09 |
| 1467965111 | Shelby Elizabeth Sgamma | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-11-15 |
| 1558890699 | Cheryl Marie Frawley | Social Worker | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-06-11 |
| 1124557509 | Haley Catherine Turner | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-06-08 |
| 1750810289 | Michaela Murphy | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-06-08 |
| 1386095495 | Kimberly Renee Barnes | Marriage & Family Therapist | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891166369 | Carolyn Phillips | Counselor | 2187 Butler Ave, South Lake Tahoe, CA 96150-4426 | 2015-10-09 |
| 1598188351 | Megan Seleine Ciampa | Counselor | 2580 Lake Tahoe Blvd Ste D, South Lake Tahoe, CA 96150-7723 | 2014-01-30 |
| 1093976763 | Judith Gretchen Ogden | Counselor | 2203 Monterey Dr, South Lake Tahoe, CA 96150-6729 | 2008-06-24 |
| 1902098213 | Richard Raymond Barna | Counselor | 2494 Lake Tahoe Blvd, Suite C3, South Lake Tahoe, CA 96150-7719 | 2007-08-10 |
| 1093838427 | Nicolas Huerta | Counselor | 3501 Spruce Ave Ste B, South Lake Tahoe, CA 96150-2302 | 2007-04-09 |
| 1477169605 | Keith John Tanenbaum | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2020-09-22 |
| 1750929956 | Margarita Paloma Aguirre | Counselor | 2580 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-7727 | 2019-12-18 |
| 1336796838 | Jacob Daniel Rodgers | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2019-08-20 |
| 1992274542 | Sierra Rose Fowzer | Counselor | 2580 Lake Tahoe Blvd Ste D, South Lake Tahoe, CA 96150 | 2018-11-13 |
| 1629583802 | Jake Diaz | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-12-09 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on NICOLE MARIE VANDEHURST.
| 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.