NICOLE REGINA DURHAM (NPI# 1548698715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548698715 |
| Entity Type | Individual |
| Full Name | NICOLE REGINA DURHAM |
| Credential | CRNP |
| Practice Address |
116 S George St York PA 17401-1474 |
| Practice Telephone | 7178458617 |
| Mailing Telephone | 7178458617 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP013310 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
116 S GEORGE ST |
| City | YORK |
| State | PA |
| Zip Code | 17401-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891763272 | Nicole M Toth | Pediatrics | 116 S George St, Suite 301, York, PA 17401-1474 | 2006-03-10 |
| 1306446166 | Kathryn M Fossaceca | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-29 |
| 1124626171 | Ciara Nicole Rundle | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-13 |
| 1730712696 | Michael Benton | Registered Nurse | 116 S George St, York, PA 17401-1474 | 2020-02-19 |
| 1578105318 | Brittany Rae Rush | Social Worker | 116 S George St, York, PA 17401-1474 | 2019-10-14 |
| 1245888700 | Mary Klein | Counselor | 116 S George St, York, PA 17401-1474 | 2019-08-28 |
| 1154807220 | Ann Schwartzwalder | Social Worker | 116 S George St, York, PA 17401-1474 | 2018-07-12 |
| 1144715038 | Jamie Lynne Gallo | Dentist | 116 S George St, York, PA 17401-1474 | 2018-06-25 |
| 1477046134 | Ashley Nicole Beck | Dentist | 116 S George St, York, PA 17401-1474 | 2018-06-07 |
| 1518484062 | Jasmine Morales | Dental Hygienist | 116 S George St, York, PA 17401-1474 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952724387 | Shiloh Homecare Corporation | Home Health | 266 W Market St, York, PA 17401 | 2014-01-21 |
| 1902245905 | Gwendolyn K Blankenship | Social Worker | Family First Health, 116 S George St, York, PA 17401 | 2013-06-24 |
| 1750668786 | York Academy Regional Charter School | Local Education Agency (LEA) | 32 West North St., York, PA 17401 | 2011-11-04 |
| 1932359593 | Brockie Healthcare,inc. | Pharmacy | 209 N Beaver Street, York, PA 17401 | 2008-09-19 |
| 1437252517 | Community Counseling Services LLC | Counselor | 239 W Philadelphia St, York, PA 17401 | 2006-09-06 |
| 1205211836 | Michele O'neill | Nurse Practitioner | 605 S George St Ste 200, York, PA 17401 | 2015-07-24 |
| 1912217340 | Kimberly Wilder | Counselor | 128 N George St, York, PA 17401 | 2010-10-19 |
| 1467621771 | Jessica Michael Petroskie | Counselor | 128 N George St, York, PA 17401 | 2008-02-21 |
| 1699952705 | Heather Elizabeth Wantz | Counselor | 128 N George St, York, PA 17401 | 2008-01-31 |
| 1588841654 | Lottie Smith | Social Worker | 128 N George St, York, PA 17401 | 2008-01-30 |
| Find all providers in zip 17401 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918979 | Marc Allegro | Nurse Practitioner | 1001 S George St Fl 4, York, PA 17403-3676 | 2017-12-28 |
| 1154787729 | Cheryl Meyer | Nurse Practitioner | 2350 Freedom Way, York, PA 17402-8200 | 2016-01-12 |
| 1558733469 | Deborah Yommer | Nurse Practitioner | 2350 Freedom Way, Suite 202, York, PA 17402-8200 | 2015-10-30 |
| 1194197731 | Heather Diffendall | Nurse Practitioner | 1001 S George St Fl 2, York, PA 17403 | 2015-10-22 |
| 1114358421 | Amy Golob | Nurse Practitioner | 1575 Bannister St, Suite 7, York, PA 17404-4946 | 2013-12-12 |
| 1962831008 | Amanda Marie Roberts | Nurse Practitioner | 1001 S George St, 3rd Floor, York, PA 17403-3676 | 2013-11-08 |
| 1073629085 | Ann Marie Sommer | Nurse Practitioner | 130 Pine Grove Cmns, York, PA 17403-5151 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
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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.