NICOLE JANAY PEREZ (NPI# 1710469119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710469119 |
| Entity Type | Individual |
| Full Name | NICOLE JANAY PEREZ |
| Practice Address |
1720 Dutch Fork Rd Ste D Irmo SC 29063-8871 |
| Mailing Address |
34 Woodcross Dr Apt 409 Columbia SC 29212-2359 |
| Practice Telephone | 8033314028 |
| Mailing Telephone | 8033314028 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8268 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285134544 | Nicole D Perez | Specialist/Technologist | 12019 Sycamore St Apt 1, Norwalk, CA 90650-4139 | 2018-02-13 |
| 1174927818 | Nicole Perez | Counselor | 60 Florence St, Apt#2, Everett, MA 02149-4841 | 2014-10-09 |
| 1629388970 | Nicole Ashley Perez | Occupational Therapist | 815 Broadway, Bayonne, NJ 07002-2919 | 2010-10-19 |
| 1558532168 | Nicole Michelle Perez | Occupational Therapist | 711 Sherwood Terrace Dr Apt 308, Orlando, FL 32818-6660 | 2008-03-23 |
| 1669082160 | Nicole Ashley Perez | Dentist | 7430 Immokalee Rd Ste 102, Naples, FL 34119-1483 | 2020-08-09 |
| 1831724418 | Nicole Amanda Perez | Registered Nurse | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-03-04 |
| 1205469236 | Nicole Perez | Counselor | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 | 2020-02-18 |
| 1942856315 | Nicole Marie Perez | Nurse Practitioner | 1411 N Flagler Dr, West Palm Beach, FL 33401-3404 | 2019-08-12 |
| 1396390647 | Nicole Perez | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-08-05 |
| 1891252995 | Nicole Marie Perez | Case Manager/Care Coordinator | 3939 Atlantic Ave Ste 103, Long Beach, CA 90807-3529 | 2019-02-25 |
| Street Address |
1720 DUTCH FORK RD STE D |
| City | IRMO |
| State | SC |
| Zip Code | 29063-8871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306498191 | Shawn Taylor Moore | Massage Therapist | 1720 Dutch Fork Rd Ste D, Irmo, SC 29063-8871 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1902047830 | Daniel Carson Lowe | Massage Therapist | 109 Fox Chapel Dr, Irmo, SC 29063-8372 | 2009-03-24 |
| 1215001342 | Center for Health Integration, Inc | Massage Therapist | 7210l Broad River Rd, Irmo, SC 29063-7973 | 2006-11-20 |
| 1831291475 | Misty Murray | Massage Therapist | 10071 Broad River Rd, Ste B, Irmo, SC 29063-2381 | 2006-09-03 |
| 1306498191 | Shawn Taylor Moore | Massage Therapist | 1720 Dutch Fork Rd Ste D, Irmo, SC 29063-8871 | 2019-07-11 |
| 1316193584 | Mary C. Nettles | Massage Therapist | 7210l Broad River Rd, Irmo, SC 29063-7973 | 2008-08-07 |
| 1639373350 | Pamella Wadford | Massage Therapist | 7210l Broad River Rd, Irmo, SC 29063-7973 | 2007-06-14 |
| 1235349358 | Joseph Keith Haltiwanger | Massage Therapist | 7210l Broad River Rd, Irmo, SC 29063-7973 | 2007-05-24 |
| 1235295858 | Pamila A Lorentz | Massage Therapist | 7210l Broad River Rd, Irmo, SC 29063-7973 | 2006-12-28 |
| 1639244858 | Karen Joyce Luvisi | Massage Therapist | 7210l Broad River Rd, Irmo, SC 29063-7973 | 2006-11-22 |
| Find all providers in IRMO | ||||
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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.