DR. NICOLE MICHELLE HEATHERLY (NPI# 1407363781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407363781 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MICHELLE HEATHERLY |
| Credential | DC |
| Practice Address |
7196 Crestwood Blvd Ste 100 Frederick MD 21703-1845 |
| Mailing Address |
7196 Crestwood Blvd Frederick MD 21703-1844 |
| Practice Telephone | 3016980001 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S03925 | MD | Chiropractic Providers |
| Street Address |
7196 CRESTWOOD BLVD STE 100 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910481 | Mid-atlantic Chiropractic North Frederick, LLC | Chiropractor | 2480 Osprey Way Ste C, Frederick, MD 21701-1959 | 2020-07-30 |
| 1467015735 | Adam Preston Smith | Chiropractor | 1080 W Patrick St Ste 15, Frederick, MD 21703-3971 | 2019-04-22 |
| 1861785107 | Megan Epps | Chiropractor | 5400 Wolf St, Frederick, CO 80504-3432 | 2011-05-19 |
| 1174835367 | Rs Joint Venture LLC | Chiropractor | 1780 N Market St, Ste B, Frederick, MD 21701-4300 | 2010-07-05 |
| 1760650535 | Kenneth John Williams | Chiropractor | 154 N Market St, Frederick, MD 21701-5423 | 2008-02-14 |
| 1629260575 | Valley Chiropractic LLC | Chiropractor | 110 Baughmans Ln Ste 200, Frederick, MD 21702-4916 | 2007-08-14 |
| 1346459336 | Tollhouse Chiropractic, Pa | Chiropractor | 812 Toll House Ave, Frederick, MD 21701-4519 | 2007-05-22 |
| 1225240492 | Gary Trupo,d.c. | Chiropractor | 604 Solarex Ct Unit 101, Frederick, MD 21703-8678 | 2007-05-03 |
| 1144367210 | Kersten Chiropractic PC | Chiropractor | 630 Main St., A, Frederick, CO 80530 | 2007-01-30 |
| 1538226949 | Robert Frederick Staley | Chiropractor | 532 Pearl St, Frederick, MD 21701-6409 | 2007-01-03 |
| Find all providers in FREDERICK | ||||
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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.