NICKIE DIANE STEWART


Address: 3514 21st St, Lubbock, TX 79410-1210
Phone: 8067251801

NICKIE DIANE STEWART (NPI# 1346725090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346725090
Entity Type Individual
Full Name NICKIE DIANE STEWART
Practice Address 3514 21st St
Lubbock
TX 79410-1210
Mailing Address 2215 Nashville Ave
Lubbock
TX 79410-1105
Practice Telephone 8067251801
Practice Fax Number 8067237535
Mailing Telephone 8067255844
Enumeration Date 2018-09-28
Last Update Date 2018-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP138166 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3514 21ST ST
City LUBBOCK
State TX
Zip Code 79410-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598769275 Paul A Overlie Internal Medicine 3514 21st St, Lubbock, TX 79410-1210 2005-06-09
1720634322 Ahnnabeth Millis Registered Nurse 3514 21st St, Lubbock, TX 79410-1210 2019-08-11
1225510647 Ravyn Nicole Barr Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2018-08-31
1740702398 Melissa Franco Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2017-07-14
1508225848 Tonya Brown Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2016-02-15
1326398702 Jerry Wayne Ary Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2012-09-13
1467766675 Mohammad Ali Chaudhry Anesthesiology 3514 21st St, Lubbock, TX 79410-1210 2010-07-29
1144545781 Kyler W. Barkley Internal Medicine 3514 21st St, Lubbock, TX 79410-1210 2010-04-06
1154659688 James E Golden Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2009-11-20
1902810344 James B Moss IIi Internal Medicine 3514 21st St, Lubbock, TX 79410-1210 2006-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548878267 Covenant Medical Center Clinic/Center 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911859 Amber Marie Bowman Nurse Practitioner 5106 59th St, Lubbock, TX 79414-4312 2020-10-29
1609475219 Jonathan-michael Aaron Sisson Nurse Practitioner 7421 104th St, Lubbock, TX 79424-6079 2020-10-23
1174134753 Rebecca Stephanie Castillo Nurse Practitioner 5528 109th St, Lubbock, TX 79424-7680 2020-08-16
1508487398 Mark Angelo Padolina Nurse Practitioner 1101 Oshkosh Ave, Lubbock, TX 79416-3810 2020-05-03
1841826724 Leticia Luna Flores Cooper Nurse Practitioner 2511 60th St, Lubbock, TX 79413-5641 2020-03-23
1952931693 Camella Dawn Ladd Nurse Practitioner 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 2020-01-22
1962042598 Wendy Geraldine Avalos Nurse Practitioner 9304 Primrose Ave, Lubbock, TX 79424-6799 2020-01-11
1619516325 Jessica Krueger Nurse Practitioner 5502 103rd St, Lubbock, TX 79424-6417 2019-12-27
1417596438 Alicia Michelle Powell Nurse Practitioner 6102 82nd St Ste 14, Lubbock, TX 79424-0840 2019-12-23
1376181537 Ashley Nicole White Nurse Practitioner 5614 100th St, Lubbock, TX 79424-6268 2019-12-18
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79410

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Dataset Information

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.

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