NICOLE NICHOLS (NPI# 1336301704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336301704 |
| Entity Type | Individual |
| Full Name | NICOLE NICHOLS |
| Credential | PT, DPT, ATC |
| Practice Address |
1338 S Extension Road Topinabee MI 49791 |
| Mailing Address |
1338 South Extension Road Topinabee MI 49791 |
| Practice Telephone | 2318180521 |
| Mailing Telephone | 2318180521 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2013-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L1181086 | MI | Other Service Providers |
| N | 225100000X | Physical Therapist | PT13066 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781062 | Nicole Nichols | Counselor | 34465 Ambrose Hoover Rd, Tickfaw, LA 70466-3917 | 2015-10-02 |
| 1609253715 | Nicole Nichols | Registered Nurse | 1305 N 11th St, Duncan, OK 73533-3705 | 2015-04-28 |
| 1881901684 | Nicole Arielle Nichols | Speech-Language Pathologist | 444 Community Drive Medical Center, Suite 309, Manhasset, NY 11030 | 2010-09-01 |
| 1902381346 | Nicole Nichols | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2018-10-02 |
| 1467971424 | Nicole Amber Nichols | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2017-09-11 |
| 1740721596 | Nicole Nichols | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-03-13 |
| 1568913648 | Nicole Nichols | Speech-Language Pathologist | 416 E 30th St, Baltimore, MD 21218-3934 | 2016-10-24 |
| 1013366384 | Nicole Nichols | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2016-06-08 |
| 1962836551 | Nicole K Nichols | Registered Nurse | 10012 Kennerly Rd, Suite 101, Saint Louis, MO 63128-2197 | 2013-08-30 |
| 1548564883 | Nicole Latrece Nichols | Counselor | 945 Grand St, Starke, FL 32091-1821 | 2010-12-30 |
| Street Address |
1338 S EXTENSION ROAD |
| City | TOPINABEE |
| State | MI |
| Zip Code | 49791 |
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
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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.