MRS. DEBRA ANNE NICKERSON (NPI# 1326274713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326274713 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA ANNE NICKERSON |
| Credential | NNP-BC |
| Practice Address |
1001 Blythe Blvd Suite 200 Charlotte NC 28203-5866 |
| Mailing Address |
Po Box 601372 1001 Blythe Blvd., Suite 200 Charlotte NC 28260-1372 |
| Practice Telephone | 7043818840 |
| Practice Fax Number | 7043818848 |
| Mailing Telephone | 7043818840 |
| Mailing Fax Number | 7043818848 |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
185859 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1326274713 | 05 | |
| SC | NP3938 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407130099 | Debra Nickerson | Pharmacist | 142 Loudon Rd, Concord, NH 03301-5637 | 2011-10-01 |
| 1417172883 | Debra F Nickerson | Psychologist | 1n141 County Farm Rd, Suite 130, Winfield, IL 60190-2032 | 2007-04-13 |
| 1518029479 | Debra H Nickerson | Social Worker | 1138 Pine St, Burlington, VT 05401-5353 | 2006-12-15 |
| Street Address |
1001 BLYTHE BLVD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771790 | Markus Scherer | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2005-06-23 |
| 1194334417 | Sarah Hargett | Nurse Practitioner | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2020-07-23 |
| 1457985129 | Laura Abramo | Nurse Practitioner | 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 | 2020-03-02 |
| 1497388490 | Jessica Gallimore | Nurse Practitioner | 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 | 2020-02-18 |
| 1821620451 | Kevin Wagner | Nurse Practitioner | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2020-02-11 |
| 1336771666 | Jahaziel Rendon | Physician Assistant | 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 | 2020-02-05 |
| 1619508629 | Yolanda Cousen | Nurse Practitioner | 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 | 2020-01-29 |
| 1316597115 | Devan Herring | Dietitian, Registered | 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 | 2019-09-13 |
| 1194374793 | Catherine Shah | Nurse Practitioner | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2019-09-05 |
| 1710535786 | Cynthia Ann Klotz | Pharmacist | 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1003468844 | Samantha Mullis | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2019-07-11 |
| 1194203620 | Erica Diane Klose | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2018-08-06 |
| 1588188981 | Courtney Walton Watson | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-07-28 |
| 1801310321 | Lindsey Howe | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-07-26 |
| 1306391776 | Colleen Wells | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-08-16 |
| 1174981252 | Trisha L. Abernathy | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-02-04 |
| 1780076521 | Amanda Huffstetler Spargo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2015-03-03 |
| 1871770651 | Deborah Filkins | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689056 | Sarah Mears | Nurse Practitioner | 5016 Big Creek Rd, Raleigh, NC 27613-6176 | 2015-01-13 |
| 1194067892 | Kimberly Dawn Nail | Nurse Practitioner | 101 Manning Drive, Cb# 7596, Room N4051, Chapel Hill, NC 27599-7596 | 2013-03-20 |
| 1376813881 | Catherine Simmons | Nurse Practitioner | 5524 Erwin Road Hospital N Box 100500, Durham, NC 27710-0001 | 2011-12-31 |
| 1326317686 | Monica Koch Jakubowski | Nurse Practitioner | 5524 Duke Hospital N, Box 100500, Durham, NC 27710-0001 | 2011-12-15 |
| 1891943973 | Kay Elaine Timbreza | Nurse Practitioner | 1126 Garden Club Way, Leland, NC 28451-4133 | 2008-09-03 |
| 1962659201 | Amy Liverman Williford | Nurse Practitioner | 2100 Statonsburg Road, Greenville, NC 27834 | 2008-08-19 |
| 1003889965 | Paula Beth Roach | Nurse Practitioner | Bldg 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-02-10 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1295343515 | Lauren Michelle Hughes | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-22 |
| 1548886849 | Stephanie Dawn Chambers | Nurse Practitioner | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.