DR. JULIE ANNE NICKELSEN (NPI# 1598720914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598720914 |
| Entity Type | Individual |
| Full Name | DR. JULIE ANNE NICKELSEN |
| Credential | MD |
| Practice Address |
2320 Woolsey St Suite 314 Berkeley CA 94705 |
| Practice Telephone | 5108412822 |
| Practice Fax Number | 5108411304 |
| Mailing Telephone | 5108412822 |
| Mailing Fax Number | 5108411304 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G50886 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G058860 | 05 |
| Street Address |
2320 WOOLSEY ST SUITE 314 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589045 | Institute of Integrative Immunology, Inc | Allergy & Immunology | 2320 Woolsey St, Suite 314, Berkeley, CA 94705-1973 | 2017-03-14 |
| 1689123994 | Deborah Rosen Kanofsky | Acupuncturist | 2320 Woolsey St, Suite 100, Berkeley, CA 94705-1973 | 2016-09-27 |
| 1215383484 | Margaret Shao | Acupuncturist | 2320 Woolsey St, Suite 100, Berkeley, CA 94705-1973 | 2016-05-06 |
| 1194123570 | Mauricio Kuri Md PC | Plastic Surgery | 2320 Woolsey St, Suite 202, Berkeley, CA 94705-1973 | 2014-12-16 |
| 1477879609 | Allergy and Immunology Clinic of East Bay Inc | Allergy & Immunology | 2320 Woolsey St, Ste 314, Berkeley, CA 94705-1973 | 2010-04-13 |
| 1376868497 | Helen O Chodsky | Physician Assistant | 2320 Woolsey St, Suite 202, Berkeley, CA 94705-1973 | 2010-03-31 |
| 1205159258 | Allergy & Immunology Clinic of East Bay | Clinic/Center | 2320 Woolsey St, Ste 314, Berkeley, CA 94705-1973 | 2010-03-04 |
| 1356589196 | Berkeley Hills Dental Care, Inc. | Dentist | 2320 Woolsey St, Suite 312, Berkeley, CA 94705-1973 | 2009-02-02 |
| 1558541672 | David Melly | Acupuncturist | 2320 Woolsey St, Suite 100, Berkeley, CA 94705-1973 | 2007-11-06 |
| 1699968305 | Adrianna Browne | Dermatology | 2320 Woolsey St, Suite 202, Berkeley, CA 94705-1973 | 2007-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161008 | Rebecca Allison Pell | Family Medicine | 1327 Parker St Apt C, Berkeley, CA 94702-2341 | 2020-07-20 |
| 1649895434 | Precision Psychological Medicine Corporation | Family Medicine | 2703 7th St Ste 301, Berkeley, CA 94710-2664 | 2020-06-08 |
| 1588213458 | Quantumv Medical Group, Inc. | Family Medicine | 46 Shattuck Sq Ste 16, Berkeley, CA 94704-1154 | 2019-09-04 |
| 1780166983 | Amal Salah Elsohemy | Family Medicine | 3100 San Pablo Ave Ste 300, Berkeley, CA 94702-2498 | 2018-09-04 |
| 1033536404 | Dana Gersten | Family Medicine | 1711 Ward St, Berkeley, CA 94703-2105 | 2014-03-24 |
| 1811269566 | Ernest Marvin Kotlier | Family Medicine | 1555 Scenic Ave, Berkeley, CA 94708-1813 | 2012-01-27 |
| 1811268246 | Miles Graber | Family Medicine | 1768 Sonoma Ave, Berkeley, CA 94707-2531 | 2012-01-17 |
| 1528123759 | Michele Ditomas | Family Medicine | 2031 6th Street, Berkeley, CA 94710 | 2006-12-27 |
| 1376613257 | Stephen Morris Brown | Family Medicine | 2435 Webster St Ste D, Berkeley, CA 94705-2050 | 2006-11-08 |
| 1437236163 | Shannon Lee Mccune | Family Medicine | 2850 Telegraph Ave Ste 130, Berkeley, CA 94705-1159 | 2006-11-01 |
| Find all providers in BERKELEY | ||||
Please comment or provide details below to improve the information on DR. JULIE ANNE NICKELSEN.
| 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.