MS. CAROL ANN NIZIOLEK (NPI# 1619006145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619006145 |
| Entity Type | Individual |
| Full Name | MS. CAROL ANN NIZIOLEK |
| Credential | RN,MSN,CS |
| Practice Address |
121 Middle St Suite 404 Portland ME 04101-4156 |
| Mailing Address |
22 Merrymeeting Dr Portland ME 04103-3938 |
| Practice Telephone | 2077728534 |
| Practice Fax Number | 2077721629 |
| Mailing Telephone | 2077977479 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
R 032287 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
121 MIDDLE ST SUITE 404 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772772 | Ronald E Bailyn | Psychiatry & Neurology | 121 Middle St, Suite 404, Portland, ME 04101-4156 | 2005-07-05 |
| 1356451611 | Valerie Hart | Registered Nurse | 121 Middle St, Portland, ME 04101-4156 | 2006-08-30 |
| 1003924440 | Barbara Jane Wood | Psychiatry & Neurology | 121 Middle St, Suite 404, Portland, ME 04101-4156 | 2006-08-27 |
| 1295747798 | Joseph E. Rubin | Psychiatry & Neurology | 121 Middle St, Portland, ME 04101-7123 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710021829 | Penelope Reilly | Clinical Nurse Specialist | 222 St John Street Suite 102, Portland, ME 04102 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306009238 | Anne C Williams | Clinical Nurse Specialist | 147 Mt. Pleasant St., West Rockport, ME 04865-0116 | 2008-07-10 |
| 1700996063 | Umbrella Mental Health Services, Pa | Clinical Nurse Specialist | 73 Biscay Rd, Damariscotta, ME 04543-4614 | 2006-08-30 |
| 1295049716 | Suellen Chaplin-beckett | Clinical Nurse Specialist | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2010-07-27 |
| 1629235148 | Bridget Larson | Clinical Nurse Specialist | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 | 2008-05-21 |
| 1265408777 | Jennie S. Dubosky | Clinical Nurse Specialist | 1068 Union St, Bangor, ME 04401 | 2006-02-24 |
Please comment or provide details below to improve the information on MS. CAROL ANN NIZIOLEK.
| 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.