NICOLE MARIE LEE (NPI# 1588107155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588107155 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE LEE |
| Other Name | NICOLE MARIE PFUTZENREUTER |
| Credential | ATC |
| Practice Address |
6505 Reflection Dr Apt 206 San Diego CA 92124-3108 |
| Mailing Address |
9 Rancho Jurupa Pl Pomona CA 91766-4774 |
| Practice Telephone | 9099739329 |
| Mailing Telephone | 9099739329 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000023176 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277455 | Nicole Anne Bodenstab Lee | Social Worker | 158 Mcclure Ave, Nampa, ID 83651-2025 | 2020-05-25 |
| 1043844889 | Nicole Sang-ah Lee | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave Ste D-1201, San Francisco, CA 94143-2210 | 2020-03-02 |
| 1760046734 | Nicole A Lee | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-25 |
| 1659878056 | Nicole Dawn Lee | Licensed Vocational Nurse | 1700 Rogers Rd Apt 456, Fort Worth, TX 76107-8618 | 2018-04-11 |
| 1467979815 | Nicole Lee | Pharmacist | 300 Pasteur Dr Rm H0301, Stanford, CA 94305-2200 | 2017-08-26 |
| 1740640341 | Nicole Lee | Counselor | 4747 Earhart Blvd Ste 106, New Orleans, LA 70125-1743 | 2016-02-25 |
| 1780051763 | Nicole Stephanie Lee | Optometrist | 8000 Nisky Shopping Ctr Ste 19, St Thomas, VI 00802-5810 | 2015-08-26 |
| 1578951331 | Nicole Lee | Community Health Worker | 12955 Riverdale Ave, Detroit, MI 48223-3083 | 2015-01-02 |
| 1396154191 | Nicole Lee | Social Worker | 51 Argyle Rd, Apartment C3, Brooklyn, NY 11218-2955 | 2014-08-05 |
| 1730595943 | Nicole Lee | Nurse Practitioner | 10 Bay Cliff Cir, Plymouth, MA 02360-1458 | 2014-07-08 |
| Street Address |
6505 REFLECTION DR APT 206 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92124-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150334 | Paullette Michelle Rosette | Marriage & Family Therapist | 5421 Escarchosa Lane, San Diego, CA 92124 | 2018-10-22 |
| 1699253179 | Laura Lychelle Kime | Behavioral Analyst | 4256 Tambor Ct, San Diego, CA 92124 | 2018-08-06 |
| 1720506850 | Jonathan Jacobs | Military Health Care Provider | 3064 Taussig St, San Diego, CA 92124 | 2017-09-08 |
| 1568856235 | Alvin Nguyen | Student in an Organized Health Care Education/Training Program | 10872 Portobelo Dr., San Diego, CA 92124 | 2015-03-20 |
| 1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
| 1023334158 | Billy L Fuson Jr. | Military Health Care Provider | 6656 Antigua Blvd, San Diego, CA 92124 | 2010-04-14 |
| 1386866473 | Ephraim J. Tabornal, Dds, Inc. | Dentist | 10850 Baroque Lane, Suite C, San Diego, CA 92124 | 2007-05-02 |
| 1538255245 | Lisa Anne Hazlewood-hunt | Psychologist | 11770 Bernardo Plaza Ct. Suite 260, San Diego, CA 92124 | 2006-10-04 |
| 1740393586 | Brian L Mcdonald | Physical Therapist | 5950 Santo Road, Suite D, San Diego, CA 92124 | 2006-08-16 |
| 1003820614 | Eileen Louise Holman | Social Worker | 6586 Ambrosia Drive, #5204, San Diego, CA 92124 | 2006-07-28 |
| Find all providers in zip 92124 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540075 | Brianna Paige Corallo | Specialist/Technologist | 4453 Carling Dr, San Diego, CA 92115-5527 | 2020-08-30 |
| 1518578954 | Mina Markley Castleman | Specialist/Technologist | 3864 35th St Apt 12, San Diego, CA 92104-3162 | 2020-08-10 |
| 1518575661 | Jason William Switzer | Specialist/Technologist | 3328 6th Ave, San Diego, CA 92103-5706 | 2020-07-15 |
| 1346858461 | Eduardo Alberto Gallardo Ziramba | Specialist/Technologist | 3142 Ingelow St, San Diego, CA 92106-2222 | 2020-07-14 |
| 1144847641 | Joseph C Claborn | Specialist/Technologist | 7130 Miramar Rd, San Diego, CA 92121-2353 | 2020-06-30 |
| 1215551551 | Jacob Riley Callahan | Specialist/Technologist | 5302 55th St, San Diego, CA 92182-0001 | 2020-06-02 |
| 1598385932 | Nicole Arimboanga Brisco | Specialist/Technologist | 10510 Marauder Way, San Diego, CA 92126-3275 | 2020-04-24 |
| 1861059925 | Tomoko Ohkubo-kuo | Specialist/Technologist | 8780 Parkplace Ct, San Diego, CA 92123-6406 | 2019-05-23 |
| 1720645864 | Bianca Mattioli | Specialist/Technologist | 6191 Rancho Mission Rd Unit 113, San Diego, CA 92108-2238 | 2019-05-23 |
| 1427614700 | Jason Mcmullen | Specialist/Technologist | 3421 36th St Apt 15, San Diego, CA 92104-4434 | 2019-05-13 |
| Find all providers in SAN DIEGO | ||||
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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.