NICOLE MARIE SPECK


Address: 2800 Stone School Road, Room 112, Ann Arbor, MI 48104
Phone: 7349739367

NICOLE MARIE SPECK (NPI# 1619978145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619978145
Entity Type Individual
Full Name NICOLE MARIE SPECK
Credential FNP
Practice Address 2800 Stone School Road
Room 112
Ann Arbor
MI 48104
Mailing Address 3621 S State St
700 Kms Place
Ann Arbor
MI 48108
Practice Telephone 7349739367
Mailing Telephone 7349362047
Enumeration Date 2005-08-09
Last Update Date 2016-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704207836 MI Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
4704207836 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 77 4631518 05
MI BCBS MI NP GROUP 50-0-H2-0189-0 01

Office Location

Street Address 2800 STONE SCHOOL ROAD
ROOM 112
City ANN ARBOR
State MI
Zip Code 48104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174876536 Elizabeth Elgin Fraker Social Worker 2800 Stone School Road, Room 112, Ann Arbor, MI 48104-7434 2012-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336603927 Julie Corey Counselor 2604 Brockman Blvd, Ann Arbor, MI 48104 2019-01-28
1003301045 Ann Arbor Pharmacy LLC Pharmacy 2418 E Stadium Blvd, Ann Arbor, MI 48104 2018-06-22
1811499304 Melissa L Wright Physical Therapist 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 2018-03-01
1689180226 Walgreen Co Durable Medical Equipment & Medical Supplies 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 2017-12-19
1861911547 Jonathen Ross Social Worker 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 2017-09-14
1275058521 Emily Lauren Hanna Social Worker 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 2017-08-08
1073035457 Raynaldo Juaquin Valdez Specialist/Technologist 500 E. Hoover Ave, Ann Arbor, MI 48104 2017-07-07
1912436908 Alison Nicole Tseng Dentist 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 2017-06-05
1528593183 Hillary Baldwin Steller, Lmsw,llc Social Worker 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 2017-04-20
1013360973 Teresa Myers Massage Therapist 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 2016-07-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821624685 Francisco Bielinki Jr. Nurse Practitioner 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 2020-03-12
1609335363 Epmg Northern Michigan Pllc Nurse Practitioner 5301 E Huron River Dr Er, Ann Arbor, MI 48106 2019-03-13
1649771668 Julie Elizabeth Cain Nurse Practitioner 1418 Morton Ave, Ann Arbor, MI 48104-4437 2018-02-25
1689190167 Sonam Krichbaum Nurse Practitioner 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 2017-08-16
1013438530 Keely Marie Blosh Nurse Practitioner 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 2017-07-06
1821538026 Natalya Stokely-hamdan Nurse Practitioner 3410 Ferry St, Ann Arbor, MI 48103-1905 2017-03-07
1295113199 Ji-young Byun Nurse Practitioner 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 2015-05-11
1528303740 Teresa Kathleen Reimer Nurse Practitioner 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 2012-11-28
1053662981 Andria Scappaticci Hazergian Nurse Practitioner 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 2012-10-02
1114171238 Donna Lee Auer Nurse Practitioner 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 2008-11-17
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Competitor

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City ANN ARBOR
Zip Code 48104

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Dataset Information

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.

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