KRISTEN ELIZABETH NICHOLS (NPI# 1437776341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437776341 |
| Entity Type | Individual |
| Full Name | KRISTEN ELIZABETH NICHOLS |
| Practice Address |
204 Hampton Dr Venice CA 90291-2623 |
| Mailing Address |
Po Box 3214 San Clemente CA 92674-3214 |
| Practice Telephone | 3103966468 |
| Mailing Telephone | 7148331676 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
95490 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 20th St, Santa Monica, CA 904042906 | 3103096001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885322 | Kristen Elizabeth Nichols | Social Worker | 2277 Grand Ave, Baldwin, NY 11510-3148 | 2020-03-11 |
| 1972143816 | Kristen Michelle Nichols | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-08 |
| 1285285718 | Kristen Nichols | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-25 |
| 1265942486 | Kristen Ann Nichols | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2017-10-02 |
| 1710404702 | Kristen Busico Nichols | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-08-29 |
| 1053841064 | Kristen Marie Nichols | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A218, La Jolla, CA 92037-1711 | 2017-06-13 |
| 1043529886 | Kristen Nichols | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2010-09-28 |
| 1063590727 | Kristen L. Nichols | Emergency Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1467431874 | Kristen Benae Nichols | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2006-01-13 |
| Street Address |
204 HAMPTON DR |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265569545 | Joaquin Ortega | Rehabilitation Practitioner | 204 Hampton Dr, Dept 3100, Venice, CA 90291-2623 | 2007-02-27 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1194332189 | Jessica Dian Bryant | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-09-24 |
| 1841804135 | Jonathon Vorpe | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-09-03 |
| 1730792540 | Austin Michael Martinez | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-08-31 |
| 1396354288 | Efren Espinoza | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-27 |
| 1831717917 | Carla A Gonzalez | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-06 |
| 1164049540 | Alicia Crooks | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-01 |
| 1356968283 | Veronica Morrison | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339899 | Amy Claude | Counselor | 417 Redwood Rd, Venice, FL 34293-1128 | 2020-02-28 |
| 1083191134 | Susan Winfield | Counselor | 615 Hampton Dr Unit A303, Venice, CA 90291-2793 | 2018-07-22 |
| 1053825638 | David Huw Burston | Counselor | 703 Machado Dr, Venice, CA 90291-2706 | 2017-11-19 |
| 1417305061 | Lindsay Dec | Counselor | 333 Tamiami Trl S Ste 293, Venice, FL 34285-2415 | 2016-05-24 |
| 1639572720 | John Andrew Ireland | Counselor | 1010 Kings Ct, Venice, FL 34293-2024 | 2014-10-02 |
| 1609276229 | Erin Leanne Parrett | Counselor | 223 High Point Dr, Venice, FL 34292-1717 | 2014-09-02 |
| 1750795720 | Surety Inc. | Counselor | 266 Miami Ave W Ste B, Venice, FL 34285-2320 | 2014-06-17 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1508282385 | Clarence Alley Thompson IIi | Counselor | 225 4th Ave, #203, Venice, CA 90291-8605 | 2014-03-17 |
| 1851714034 | Kathleen Whitworth | Counselor | 19503 S West Villages Pkwy, Venice, FL 34293 | 2014-01-24 |
| Find all providers in VENICE | ||||
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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.