NICKOLE R VISAN (NPI# 1447590351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447590351 |
| Entity Type | Individual |
| Full Name | NICKOLE R VISAN |
| Practice Address |
18514 Pentecostal St Ellendale DE 19941-3358 |
| Practice Telephone | 3024248080 |
| Mailing Telephone | 3024248080 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
18514 PENTECOSTAL ST |
| City | ELLENDALE |
| State | DE |
| Zip Code | 19941-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619154317 | Elizabeth Jones | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-01-24 |
| 1376103556 | Gaudenzia Inc | Community Based Residential Treatment Facility, Mental Illness | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2019-06-19 |
| 1518392273 | Denise Renee Nicolai | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2013-09-12 |
| 1679854715 | Rosemarie Rita Molettiere | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2011-09-02 |
| 1346567005 | Linda Lee Jenkins | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2010-04-21 |
| 1144480658 | Sharronda Katrice Whaley | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-06-10 |
| 1053587600 | Threasa D Brittingham | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-05-05 |
| 1871769422 | Cynthia M Aman | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-05-05 |
| 1366611758 | Camille Tuck | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-02-29 |
| 1184892713 | Sharon June Cooper | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255732 | Carol Pearsall | Counselor | 13726 S. Old State Rd, Ellendale, DE 19941 | 2008-01-31 |
| 1619154721 | Vonda Deputy-smith | Counselor | 13726 S. Old State Road, Ellendale, DE 19941 | 2008-01-31 |
| 1548443799 | Gloria V. Phillips | Counselor | 13726 South Old State, Ellendale, DE 19941 | 2007-12-11 |
| 1821271073 | Denise M Wilson | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1174682348 | Teresa Ann Ysaguirre | Counselor | 12649 N. Dupont Blvd., Ellendale, DE 19941 | 2006-12-06 |
| 1184738601 | Kent/sussex Detoxification Center | Substance Abuse Rehabilitation Facility | 700 Main Street, Ellendale, DE 19941 | 2006-08-19 |
| 1720261977 | Donna Bolger | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1295377190 | Tina Moyer | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-10-11 |
| 1114587276 | Jennifer Dize | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-06-19 |
| 1588227599 | Sujati Kartini Santohir | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-16 |
| Find all providers in zip 19941 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062470 | Robbin Myerberg | Counselor | 13726 S Old State Rd, Ellendale, DE 19941-3330 | 2008-12-17 |
| 1629255732 | Carol Pearsall | Counselor | 13726 S. Old State Rd, Ellendale, DE 19941 | 2008-01-31 |
| 1619154721 | Vonda Deputy-smith | Counselor | 13726 S. Old State Road, Ellendale, DE 19941 | 2008-01-31 |
| 1548443799 | Gloria V. Phillips | Counselor | 13726 South Old State, Ellendale, DE 19941 | 2007-12-11 |
| 1821271073 | Denise M Wilson | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1295377190 | Tina Moyer | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-10-11 |
| 1114587276 | Jennifer Dize | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-06-19 |
| 1588227599 | Sujati Kartini Santohir | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-16 |
| 1760045959 | Dawn Marie Goldsborough | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-15 |
| 1235692831 | Trisha Johnson | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-10 |
| Find all providers in ELLENDALE | ||||
Please comment or provide details below to improve the information on NICKOLE R VISAN.
| 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.