EMILY YVONNE NICHOLSON (NPI# 1699231977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699231977 |
| Entity Type | Individual |
| Full Name | EMILY YVONNE NICHOLSON |
| Credential | ATC, LAT |
| Practice Address |
88 West Rd Waterboro ME 04087-3209 |
| Mailing Address |
12 Thornton Ave # 101 Saco ME 04072-2891 |
| Practice Telephone | 2072473141 |
| Practice Fax Number | 2072473146 |
| Mailing Telephone | 2072948448 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT693 | ME | Allopathic & Osteopathic Physicians |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT693 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Thornton Ave # 101, Saco, ME 040722891 | 2072948448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336584218 | Emily Michelle Nicholson | Physician Assistant | 2501 Keenan Dr, Rainy Lake Medical Center, International Falls, MN 56649-2181 | 2013-05-06 |
| 1205041597 | Emily Nicholson | Psychologist | 345 Neponset St, Canton, MA 02021-1940 | 2007-05-11 |
| Street Address |
88 WEST RD |
| City | WATERBORO |
| State | ME |
| Zip Code | 04087-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470701 | Brett Dinovi Associates North | Behavioral Analyst | 305 Aa Main Street, Waterboro, ME 04087 | 2018-09-07 |
| 1982183075 | Adam Robert King | Physical Therapist | 392 Main Street, Waterboro, ME 04087 | 2018-08-09 |
| 1942723283 | Generations, LLC | Community/Behavioral Health | 912 Main St., Waterboro, ME 04087 | 2017-07-19 |
| 1003210345 | Megan R Berman | Counselor | 1003 Main Street, Waterboro, ME 04087 | 2014-10-15 |
| 1821376534 | Whitney G Lailer | Physical Therapist | 392 Main St., Waterboro, ME 04087 | 2011-07-29 |
| 1215945084 | John J Romprey Jr. | Social Worker | 860 Main Street, Waterboro, ME 04087 | 2006-08-04 |
| 1629099585 | Town of Waterboro Maine | Ambulance | 6 John Smith Rd, Waterboro, ME 04087 | 2006-07-23 |
| 1275997520 | Kristina Mariner | Massage Therapist | 935 Main St, Waterboro, ME 04087 | 2016-04-12 |
| 1700111408 | Saco River Senior Services Inc | Community/Behavioral Health | 802 Main Street, Waterboro, ME 04087 | 2009-10-14 |
| 1528393220 | Saco River Senior Services Inc | Home Health | 802 Main Street, Waterboro, ME 04087 | 2009-10-14 |
| Find all providers in zip 04087 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
| 1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.