DR. NICHOLE DIDLEY (NPI# 1679998835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679998835 |
| Entity Type | Individual |
| Full Name | DR. NICHOLE DIDLEY |
| Credential | DPM |
| Practice Address |
206 N Florida Ave Lakeland FL 33801-4902 |
| Mailing Address |
1395 Nw 167th St Miami FL 33169-5710 |
| Practice Telephone | 8632097003 |
| Practice Fax Number | 8632743520 |
| Mailing Telephone | 3056286117 |
| Mailing Fax Number | 3056286127 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3847 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3874 | FL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13600 Icot Blvd, Building A, Clearwater, FL 337603703 | 7274983942 | 8669364753 |
| Street Address |
206 N FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821193772 | Benroe W Blount | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2006-09-14 |
| 1164916417 | Christopher David Berrezueta Reinoso | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2018-06-20 |
| 1871020297 | Jeffrey Douglas Laman | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2017-05-16 |
| 1689106965 | Christine Fechter | Nurse Practitioner | 206 N Florida Ave, Lakeland, FL 33801 | 2017-03-28 |
| 1407218043 | Chen Neighborhood Medical of North Lakeland, LLC | Non-Pharmacy Dispensing Site | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2016-03-23 |
| 1326408477 | Eduardo D Ramirez De Arellano Gonzalez | Internal Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2016-03-02 |
| 1053779173 | Janmary Figueroa | Internal Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2016-02-03 |
| 1710273743 | Faisel Ali Syed | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2011-06-28 |
| 1669790853 | Melanie C Letobarone | Internal Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2010-05-12 |
| 1932331980 | Jayasree Tatagari | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2009-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758134 | James F Pruchniewski | Podiatrist | 4973 Us Highway 98 N, Lakeland, FL 33809-3657 | 2006-08-18 |
| 1447217971 | Janice Susan Albritton | Podiatrist | 627 Robin Rd, Lakeland, FL 33803-4840 | 2006-04-27 |
| 1831159136 | Eric Joel Breuggeman | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2006-03-23 |
| 1013988658 | Jeffrey C Karr | Podiatrist | 5421 S Florida Ave, Lakeland, FL 33813 | 2006-01-31 |
| 1366420606 | Lakeland Foot & Ankle Center Pa | Podiatrist | 1543 Lakeland Hills Blvd, Ste B, Lakeland, FL 33805-3246 | 2006-01-06 |
| 1316939424 | Marvin Odro | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2005-08-16 |
| 1770965824 | Specialist Doctors Group LLC | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2015-06-25 |
| 1669892402 | Quynh Tram Nhu Nguyen | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2014-04-20 |
| 1417132952 | Odro, Fazekas & Werd Pa | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2008-01-03 |
| 1831380799 | Odro, Fazekas & Werd Pa | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2007-08-06 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on DR. NICHOLE DIDLEY.
| 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.