NICHOLE RAE DOUGLAS (NPI# 1417265984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417265984 |
| Entity Type | Individual |
| Full Name | NICHOLE RAE DOUGLAS |
| Credential | L.M.T |
| Practice Address |
154 Pearl St Up Stairs Batavia NY 14020-2914 |
| Mailing Address |
86 Myrtle St Le Roy NY 14482-1331 |
| Practice Telephone | 5858136993 |
| Mailing Telephone | 5858136993 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 021525 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174844476 | Nichole Kristen Douglas | Counselor | 1289 Seghesio Way, Windsor, CA 95492-7711 | 2010-06-21 |
| Street Address |
154 PEARL ST UP STAIRS |
| City | BATAVIA |
| State | NY |
| Zip Code | 14020-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710941984 | Michael D Deangelo | Chiropractor | 154 Pearl St, Batavia, NY 14020-2914 | 2006-04-14 |
| 1205106846 | William A Greene | Massage Therapist | 154 Pearl St, Batavia, NY 14020-2914 | 2012-01-11 |
| 1083762090 | Diana Anderson Radley | Massage Therapist | 154 Pearl St, Batavia, NY 14020-2914 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
| 1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
| 1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
| 1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
| 1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
| 1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
| 1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
| Find all providers in zip 14020 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619252491 | Debra Joy Herron | Massage Therapist | 462 Manchester Ave., Batavia, IL 60510 | 2011-10-12 |
| 1053554691 | Michael J Grasso | Massage Therapist | 39 Ellicott St, Batavia, NY 14020-3138 | 2009-04-13 |
| 1790331148 | Paul K Almeter | Massage Therapist | 46 Batavia City Ctr, Batavia, NY 14020-2107 | 2019-08-12 |
| 1033620307 | Cheryl Ann Dimartino | Massage Therapist | 1 School St, Batavia, NY 14020-3209 | 2017-10-13 |
| 1497289813 | Mary Elizabeth Easterbrook | Massage Therapist | 544 E Main St, Batavia, NY 14020-2740 | 2017-04-12 |
| 1447610829 | Amanda Marie Taylor | Massage Therapist | 1 School St, Batavia, NY 14020-3209 | 2016-02-29 |
| 1366802803 | George Wilson | Massage Therapist | 414 Main St, Batavia, IL 60510-2429 | 2016-02-25 |
| 1730576182 | Angela Boyce | Massage Therapist | 544 E Main St, Batavia, NY 14020-2740 | 2015-04-23 |
| 1205106846 | William A Greene | Massage Therapist | 154 Pearl St, Batavia, NY 14020-2914 | 2012-01-11 |
| 1669765624 | Karin L Phelps | Massage Therapist | 206 E Main St, Artemis Day Spa, Batavia, NY 14020-2223 | 2011-05-25 |
| Find all providers in BATAVIA | ||||
Please comment or provide details below to improve the information on NICHOLE RAE DOUGLAS.
| 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.