NICOLE FELLOWS (NPI# 1417444696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417444696 |
| Entity Type | Individual |
| Full Name | NICOLE FELLOWS |
| Credential | RN |
| Practice Address |
8301 Golden Valley Rd Ste 100 Golden Valley MN 55427-4469 |
| Practice Telephone | 7635815150 |
| Practice Fax Number | 7635815151 |
| Mailing Telephone | 6123460151 |
| Mailing Fax Number | 7635203841 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R169979-5 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134509797 | Nicole Ann Fellows | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-08 |
| Street Address |
8301 GOLDEN VALLEY RD STE 100 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689600983 | North Memorial Health Care | Clinic/Center | 8301 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4469 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205218989 | Kristen Louise Siewert | Registered Nurse | 3249 Noble Ave N, Golden Valley, MN 55422-3016 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312118 | Live Life Well Sevices LLC | Registered Nurse | 1469 Gardena Ave Ne, Fridley, MN 55432-5815 | 2020-10-01 |
| 1225641509 | Celia Marie Petrowiak | Registered Nurse | 308 Jeri St, Fairmont, MN 56031-3249 | 2020-08-26 |
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1689237638 | Jill Wackler | Registered Nurse | 2404 Greenbriar Ln, Buffalo, MN 55313-2368 | 2019-04-16 |
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1184153579 | Emily Marie Domeier | Registered Nurse | 1961 Premier Dr., Suite 340, Mankato, MN 56001 | 2017-06-08 |
| 1366993339 | Kristen Mellen | Registered Nurse | 104 Buckingham Ct, Mankato, MN 56001-5576 | 2016-10-14 |
| 1821440165 | Lisa Moon | Registered Nurse | 13723 Findlay Ave, Apple Valley, MN 55124-8070 | 2016-07-11 |
| 1669857587 | Kacey Ann Kasel | Registered Nurse | 820 Winnebago Ave, Suite 3, Fairmont, MN 56031-3645 | 2015-07-21 |
| 1285014142 | Arnold Smith | Registered Nurse | 3459 15th St Nw, Apt. D, Bemidji, MN 56601-5230 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
Please comment or provide details below to improve the information on NICOLE FELLOWS.
| 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.