MRS. NICOLE L RALSTON (NPI# 1619341831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619341831 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE L RALSTON |
| Other Name | NICOLE THEVENOT |
| Credential | AGNP-C |
| Practice Address |
1423 W Kandy Ct Tucson AZ 85745-3805 |
| Practice Telephone | 5202488129 |
| Mailing Telephone | 5202488129 |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
RN113296 | MD | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP8413 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609402106 | Nicole Caridad Ralston | Midwife, Lay | 2004 Baronne St Apt 3, New Orleans, LA 70113-1577 | 2020-03-16 |
| 1083039242 | Nicole Ralston | Psychologist | 4500 Tacoma Ave, Lorain, OH 44055-3823 | 2014-02-25 |
| 1851843890 | Nicole Ralston | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2016-10-25 |
| Street Address |
1423 W KANDY CT |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1356777395 | Carla Marie Pease | Nurse Practitioner | 3900 N Sabino Canyon Rd, Tucson, AZ 85750-2130 | 2013-09-23 |
| 1447691464 | Elizabeth Mary Benyo | Nurse Practitioner | 4379 N Placita De Sandra, Tucson, AZ 85718-7422 | 2013-07-08 |
| 1073801650 | Valerie Ann Bradley | Nurse Practitioner | 7910 E Speedway Blvd, Tucson, AZ 85710-1650 | 2011-07-15 |
| 1780867507 | Kathi Long | Nurse Practitioner | 7525 S Avenida De Belleza, Tucson, AZ 85747-9707 | 2007-12-14 |
| 1861672081 | Sonia Jean Shoup | Nurse Practitioner | 14901 E Rincon Creek Ranch Rd, Tucson, AZ 85747 | 2007-11-05 |
| 1639364599 | Beth Edna Lee | Nurse Practitioner | 3800 W Camino Nuestro, Tucson, AZ 85745-9755 | 2007-09-12 |
| 1326174525 | Amy Louise Ginn | Nurse Practitioner | 7740n Oracle Rd, Tucson, AZ 85704-6313 | 2007-02-24 |
| 1629133483 | Sandra Lee Johnson | Nurse Practitioner | 1225 East Lowell Street, Tucson, AZ 85721-0095 | 2006-12-22 |
| 1578647442 | Judy Stein | Nurse Practitioner | 7520 N Oracle Rd Ste 100, Catalina Pointe Arth & Rheumatology Specialists, PC, Tucson, AZ 85704-4452 | 2006-10-25 |
| Find all providers in TUCSON | ||||
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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.