NICOLE LEE KROLL (NPI# 1508877267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508877267 |
| Entity Type | Individual |
| Full Name | NICOLE LEE KROLL |
| Other Name | NICOLE LEE MOORE |
| Credential | MS RN ANP-C |
| Practice Address |
1686 Hwy 79 West Buffalo TX 75831 |
| Mailing Address |
2403 N Laurent St Victoria TX 77901-4119 |
| Practice Telephone | 9033222204 |
| Practice Fax Number | 9033227905 |
| Mailing Telephone | 3615790315 |
| Mailing Fax Number | 3615790325 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
677656 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023370962 | Nicole Kroll | Counselor | 4 Allegheny Ctr Fl 8, Pittsburgh, PA 15212-5255 | 2012-06-15 |
| Street Address |
1686 HWY 79 WEST |
| City | BUFFALO |
| State | TX |
| Zip Code | 75831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801031067 | Mona Jill Ferguson | Nurse Practitioner | 1686 Hwy 79 West, Buffalo, TX 75831 | 2008-12-02 |
| 1649335100 | Aguirre Family Care Clinic | Clinic/Center | 1686 Hwy 79 West, Buffalo, TX 75831 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447599063 | Candice R Ashley | Counselor | 2737 West Commerce Route 3, Buffalo, TX 75831 | 2013-02-01 |
| 1639464324 | Buffalo Vista Urgent Family Care, Pllc | Clinic/Center | 1045 E Railroad, Buffalo, TX 75831 | 2011-06-10 |
| 1891978847 | Ahcs 3, Lp | Skilled Nursing Facility | 302 Pearlstone Street, Buffalo, TX 75831 | 2007-12-13 |
| 1710001789 | Sue J. Allen | Durable Medical Equipment & Medical Supplies | 303 Commerce St, Buffalo, TX 75831 | 2007-03-16 |
| 1467552802 | Brookshire Brothers Inc | Pharmacy | 1220 W Commerce, Buffalo, TX 75831 | 2006-09-25 |
| 1730151341 | Copper Creek Nursing & Rehab, Inc | Skilled Nursing Facility | 302 Pearlstone, Drawer M, Buffalo, TX 75831 | 2006-02-07 |
| 1609872936 | Monica Lynn Holladay | Chiropractor | 713 Hwy 79 W, Buffalo, TX 75831 | 2005-06-22 |
| 1669650115 | Sue Johnson Allen | Durable Medical Equipment & Medical Supplies | 303 Commerce St, Buffalo, TX 75831 | 2008-02-07 |
| 1215192398 | St. Joseph Regional Health Center | Clinic/Center | 1686 Highway 79 West, Buffalo, TX 75831-0398 | 2008-07-28 |
| 1376096263 | Mexia Principal Healthcare Limited Partnership | Clinic/Center | 1686 W Us Highway 79, Buffalo, TX 75831-3490 | 2016-07-27 |
| Find all providers in zip 75831 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408372 | Syntyia La'tierra Taylor | Nurse Practitioner | 515 Abbott Rd Ste 408, Buffalo, NY 14220-1700 | 2018-12-16 |
| 1346743598 | Shelby Milan Belair | Nurse Practitioner | 3980 Sheridan Dr # D, Buffalo, NY 14226-1727 | 2018-03-14 |
| 1023529831 | Mary Catherine Brown | Nurse Practitioner | 144 Kensington Ave, Buffalo, NY 14214-2726 | 2017-10-19 |
| 1487105714 | Lisa Rudolph | Nurse Practitioner | 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 | 2016-10-21 |
| 1295194652 | Viktoriya Mccarthy | Nurse Practitioner | 737 Main St Ste 300, Buffalo, NY 14203-1335 | 2016-02-15 |
| 1952553463 | Nerfis Elminowski | Nurse Practitioner | 2234 Seneca St, Buffalo, NY 14210-2438 | 2008-10-15 |
| 1275701187 | Suzanne Marie Barrett | Nurse Practitioner | Millard Fillmore Gates Facility 3 Gates Circle, Cmicu, Buffalo, NY 14209 | 2008-02-13 |
| 1346308475 | Cheryl Marie Zachewicz | Nurse Practitioner | 50 Lakefont Blvd, Buffalo, NY 14202-4327 | 2006-12-04 |
| 1346223583 | Marilyn Melnyk | Nurse Practitioner | 2001 Main St, Buffalo, NY 14208-1035 | 2005-11-22 |
| 1356349740 | Jacquelyn Anne Botticelli | Nurse Practitioner | 60 Innsbruck Dr, Buffalo, NY 14227-2735 | 2005-07-11 |
| Find all providers in BUFFALO | ||||
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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.