MS. NIKELLE GIBSON (NPI# 1417444274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417444274 |
| Entity Type | Individual |
| Full Name | MS. NIKELLE GIBSON |
| Credential | LPN |
| Practice Address |
4524 N Clayhill Dr Appleton WI 54913-6847 |
| Practice Telephone | 9207022125 |
| Mailing Telephone | 9207022125 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 321215-31 | WI | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 321215 | WI | Nursing Service Providers |
| Street Address |
4524 N CLAYHILL DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-6847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669935383 | Melissa M Becher | Licensed Practical Nurse | 44 Valerie Dr, Appleton, WI 54915-6217 | 2019-04-09 |
| 1912472242 | Nicholas Derkowski | Licensed Practical Nurse | 2255 W Pershing St, Appleton, WI 54914-6061 | 2018-10-13 |
| 1558810416 | Lynn Lichterman | Licensed Practical Nurse | 4123 N Woodridge Dr, Appleton, WI 54913-6396 | 2016-10-03 |
| 1255784799 | Michelle Drexler | Licensed Practical Nurse | 2237 W Twin Willows Dr, Appleton, WI 54914-6867 | 2016-07-20 |
| 1013399062 | Kristina Rickert | Licensed Practical Nurse | 4500 N French Rd, Appleton, WI 54913-8363 | 2015-06-26 |
| 1235471939 | Catherine Cabilao Schrader | Licensed Practical Nurse | 1211 W Summer St, Appleton, WI 54914-3516 | 2013-03-20 |
| 1497045249 | Kelly Ann Schumacher | Licensed Practical Nurse | 1313 E Harriet St Apt 3, Appleton, WI 54915-2783 | 2011-04-13 |
| 1962712976 | Helen Catherine Belling | Licensed Practical Nurse | 1630 Holland Rd, #106, Appleton, WI 54911-8305 | 2010-10-13 |
| 1891933370 | Morgan J Kelley | Licensed Practical Nurse | 3301b N Ballard Rd, Appleton, WI 54911-8988 | 2009-01-22 |
| 1598938466 | Cynthia Marie Notz | Licensed Practical Nurse | N2342 Norman Ln, Appleton, WI 54913-8700 | 2008-04-10 |
| Find all providers in APPLETON | ||||
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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.