DR. NICOLE M NIELSEN (NPI# 1629477922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629477922 |
| Entity Type | Individual |
| Full Name | DR. NICOLE M NIELSEN |
| Credential | PHARM.D. |
| Practice Address |
12756 Van Nuys Blvd Pacoima CA 91331-1626 |
| Mailing Address |
1172 N Maclay Ave San Fernando CA 91340-1328 |
| Practice Telephone | 8188960531 |
| Mailing Telephone | 7082699389 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
74119 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADVANCED PRACTICE PHARMACIST | 10301 | 01 |
| CA | RPH | 74119 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1277 Mcarthur St, Manchester, TN 373552423 | 9317281100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316326044 | Nicole Nielsen | Psychologist | 622 E Nicolet Ave, Phoenix, AZ 85020-4943 | 2015-05-27 |
| 1598300626 | Nicole Nielsen | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-11-13 |
| 1588120232 | Nicole Jolayna Nielsen | Nurse Practitioner | 226 Bluebell Rd, Cedar Falls, IA 50613-6328 | 2019-02-19 |
| 1346672466 | Nicole Marie Nielsen | Social Worker | 2715 S Townline Rd, Houghton Lake, MI 48629-9294 | 2013-07-31 |
| 1770818585 | Nicole Renae Nielsen | Dental Hygienist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2009-10-12 |
| Street Address |
12756 VAN NUYS BLVD |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029947 | Latonya Burnell | Nurse Practitioner | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2005-08-02 |
| 1093111718 | Carolina Herrera | Dietitian, Registered | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2014-11-06 |
| 1477843365 | Cristina L. Hudson | Social Worker | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2011-04-12 |
| 1013220938 | Jenny L. Yoon | Nurse Practitioner | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2010-07-20 |
| 1891017349 | Llona Avelin Mearig | Nurse Practitioner | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2010-02-25 |
| 1366696395 | Naveen Kumar Dhiman | Family Medicine | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2008-11-04 |
| 1972768844 | Mariah Pignone | Physician Assistant | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2008-07-21 |
| 1821297110 | Yolanda Maria Cespedes-knadle | Psychologist | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2007-07-16 |
| 1396872537 | Diana Perez Nunez | Nurse Practitioner | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2007-02-27 |
| 1164412011 | Stephanie Celine Lehman | Nurse Practitioner | 12756 Van Nuys Blvd, Pacoima, CA 91331-1626 | 2005-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. NICOLE M NIELSEN.
| 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.