NICOLE A LEE (NPI# 1760046734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760046734 |
| Entity Type | Individual |
| Full Name | NICOLE A LEE |
| Practice Address |
4032 M 139 Ste 108 Saint Joseph MI 49085-8664 |
| Practice Telephone | 2695561526 |
| Practice Fax Number | 2695561528 |
| Mailing Telephone | 2695561526 |
| Mailing Fax Number | 2695561528 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277455 | Nicole Anne Bodenstab Lee | Social Worker | 158 Mcclure Ave, Nampa, ID 83651-2025 | 2020-05-25 |
| 1043844889 | Nicole Sang-ah Lee | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave Ste D-1201, San Francisco, CA 94143-2210 | 2020-03-02 |
| 1659878056 | Nicole Dawn Lee | Licensed Vocational Nurse | 1700 Rogers Rd Apt 456, Fort Worth, TX 76107-8618 | 2018-04-11 |
| 1467979815 | Nicole Lee | Pharmacist | 300 Pasteur Dr Rm H0301, Stanford, CA 94305-2200 | 2017-08-26 |
| 1588107155 | Nicole Marie Lee | Specialist/Technologist | 6505 Reflection Dr Apt 206, San Diego, CA 92124-3108 | 2016-11-29 |
| 1740640341 | Nicole Lee | Counselor | 4747 Earhart Blvd Ste 106, New Orleans, LA 70125-1743 | 2016-02-25 |
| 1780051763 | Nicole Stephanie Lee | Optometrist | 8000 Nisky Shopping Ctr Ste 19, St Thomas, VI 00802-5810 | 2015-08-26 |
| 1578951331 | Nicole Lee | Community Health Worker | 12955 Riverdale Ave, Detroit, MI 48223-3083 | 2015-01-02 |
| 1396154191 | Nicole Lee | Social Worker | 51 Argyle Rd, Apartment C3, Brooklyn, NY 11218-2955 | 2014-08-05 |
| 1730595943 | Nicole Lee | Nurse Practitioner | 10 Bay Cliff Cir, Plymouth, MA 02360-1458 | 2014-07-08 |
| Street Address |
4032 M 139 STE 108 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-8664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802311 | Lakisha Allen | Nurse's Aide | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-06-30 |
| 1235795709 | Bridgette A Butler | Nurse's Aide | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-05-10 |
| 1871157669 | Fred Henry Frese | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1891359634 | Johnny Lee Jordan | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1396309274 | Leeann C Staggs | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1245894120 | Meghan Donnelle Dawson | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1952965790 | Karol Lynn Deboer | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1386208171 | Christopher Lee Clark | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316400385 | Sharon Jordan | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-04-08 |
| 1801442876 | Raymond James Fleming | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-08-14 |
| 1871157669 | Fred Henry Frese | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1891359634 | Johnny Lee Jordan | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1396309274 | Leeann C Staggs | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1245894120 | Meghan Donnelle Dawson | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1952965790 | Karol Lynn Deboer | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1386208171 | Christopher Lee Clark | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
| 1437713419 | Jeremy Grant Bishop | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-04-25 |
| 1710440474 | Savannah Neighbors | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-04-10 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on NICOLE A LEE.
| 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.