GINA M NICKELS-NELSON (NPI# 1376526921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376526921 |
| Entity Type | Individual |
| Full Name | GINA M NICKELS-NELSON |
| Credential | FNP |
| Practice Address |
777 North St Ste 3 Pittsfield MA 01201-4147 |
| Mailing Address |
444 Stockbridge Rd Great Barrington MA 01230-1295 |
| Practice Telephone | 4134998531 |
| Practice Fax Number | 4134998560 |
| Mailing Telephone | 4135289311 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
1010027011 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1010076 | 05 |
| Street Address |
777 NORTH ST STE 3 |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119414 | Andressa Macalpine | Clinical Nurse Specialist | 75 Central St, Ashland, MA 01721-1758 | 2018-06-28 |
| 1639310691 | Tammy Zaruba | Clinical Nurse Specialist | 100 Hospital Rd Ste 4, Medical Associates Pediatrics, Leominster, MA 01453 | 2009-03-20 |
| 1538307715 | Debra T Cohen | Clinical Nurse Specialist | 79 Warren St, Newton Centre, MA 02459-2334 | 2009-01-27 |
| 1639701220 | Patricia Lincoln | Clinical Nurse Specialist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-02-11 |
| 1336480425 | Lucy P Delaney | Clinical Nurse Specialist | 107 Woburn St, Dowd Medical Assoc, Reading, MA 01867-2907 | 2013-03-14 |
| 1124278866 | Elizabeth A Smith | Clinical Nurse Specialist | 321 Main St, Acton, MA 01720-3799 | 2008-09-30 |
| 1184789422 | Amy Elizabeth Lynch | Clinical Nurse Specialist | 140 Haverhill St, Andover Pediatrics, Andover, MA 01810-1550 | 2006-12-27 |
| 1962461434 | Maureen P Carr | Clinical Nurse Specialist | 10 Centennial Dr, Peabody, MA 01960 | 2006-03-22 |
| 1407815418 | Margaret M Crocker | Clinical Nurse Specialist | 10 Centennial Dr, Peabody, MA 01960 | 2006-03-20 |
| 1013906924 | Karen B Farnum | Clinical Nurse Specialist | 221 Boston Rd, Suite 8, Billerica, MA 01862-2321 | 2005-10-14 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on GINA M NICKELS-NELSON.
| 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.