NIKITA WALLER (NPI# 1669907507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669907507 |
Entity Type | Individual |
Full Name | NIKITA WALLER |
Credential | CNIM |
Practice Address |
28345 Beck Road Ste. 103 Wixom MI 48393 |
Practice Telephone | 9546684696 |
Mailing Telephone | 9546684696 |
Enumeration Date | 2017-04-28 |
Last Update Date | 2020-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
28345 BECK ROAD STE. 103 |
City | WIXOM |
State | MI |
Zip Code | 48393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
1376600478 | Ronald C. Hackett | Dentist | 646 Wixom Road, Wixom, MI 48393-0312 | 2007-01-02 |
1518202548 | Orr Enterprise Dba Caring Matters Home Care 013 | In Home Supportive Care | 1850 Grasmere Ln, Wixom, MI 48393-1170 | 2012-12-03 |
Find all providers in zip 48393 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821603358 | Nicole Winters | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-09-11 |
1447862370 | Emiley Kreilach | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-21 |
1083224976 | Laura Starkes | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-05 |
1447860341 | Karolina Przybylski | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-05 |
1336758929 | Ashley Hott | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-07-29 |
1912516501 | Anthony Curvey | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-07-29 |
1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
1356832703 | Amanda K Peters | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-05-22 |
1407351059 | Ryan Desantis | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-03-27 |
1326543976 | Jennifer Glasgow | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-03-27 |
Find all providers in WIXOM |
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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.