MISTI NICHOLSON (NPI# 1811151582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811151582 |
| Entity Type | Individual |
| Full Name | MISTI NICHOLSON |
| Other Name | MISTI MICHELLE TUERCK |
| Practice Address |
3000 Joe Dimaggio Blvd Suite 66 Round Rock TX 78665-3922 |
| Practice Telephone | 5122467225 |
| Mailing Telephone | 5122467225 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
36270 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3000 JOE DIMAGGIO BLVD SUITE 66 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134174881 | Xuan Kim Tran | Family Medicine | 3000 Joe Dimaggio Blvd, Suite 65, Round Rock, TX 78665-3990 | 2006-05-23 |
| 1629503453 | Brittney Jones | Marriage & Family Therapist | 3000 Joe Dimaggio Blvd, Round Rock, TX 78665-3922 | 2017-04-30 |
| 1447785324 | Linda Becker | Mechanotherapist | 3000 Joe Dimaggio Blvd, 29a, Round Rock, TX 78665-3922 | 2017-04-27 |
| 1073966750 | Rhonda Gilchrist Ma Lpc | Counselor | 3000 Joe Dimaggio Blvd, Building 17 Suite 62, Round Rock, TX 78665-3922 | 2016-07-19 |
| 1508226705 | Erika June Canales | Psychologist | 3000 Joe Dimaggio Blvd, Ste 3, Round Rock, TX 78665-3989 | 2016-03-01 |
| 1982062816 | Hill Country Ocd Treatment Center | Social Worker | 3000 Joe Dimaggio Blvd, Suite 66, Round Rock, TX 78665-3922 | 2016-02-06 |
| 1295108058 | Tyler Dreher | Chiropractor | 3000 Joe Dimaggio Blvd, Ste 73, Round Rock, TX 78665-3922 | 2015-11-02 |
| 1861891772 | Gardner Chiropractic: Family and Wellness Center, Pllc | Chiropractor | 3000 Joe Dimaggio Blvd, Ste 54, Round Rock, TX 78665-3922 | 2014-08-15 |
| 1316354269 | Doctor Joy Rincones Pllc | Chiropractor | 3000 Joe Dimaggio Blvd, Suite 95, Round Rock, TX 78665-3993 | 2014-07-11 |
| 1285069690 | Ambe Care Home Health LLC | Home Health | 3000 Joe Dimaggio Blvd, Unit 94, Round Rock, TX 78665-3922 | 2013-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023203023 | Brooke Hersh | Psychologist | 7700 Cat Hollow Dr, Suite 206, Round Rock, TX 78681-5796 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048417 | Marissa L Benners | Psychologist | 3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 | 2020-09-22 |
| 1235741778 | Capital Area Psychological & Evaluation Services, Pllc | Psychologist | 1715 W Fm 1626 Ste 200, Manchaca, TX 78652-3549 | 2020-08-17 |
| 1396354718 | Tarrah Mitchell | Psychologist | 3918 125th St, Lubbock, TX 79423-8906 | 2020-07-31 |
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1396231064 | Crystal Gayle | Psychologist | 3626 N Hall St Ste 550, Dallas, TX 75219-5105 | 2018-07-06 |
| 1104314533 | Kelly Nicole Banneyer | Psychologist | 6701 Fannin St Ste 1630, Houston, TX 77030-2615 | 2018-05-01 |
| 1679086615 | Houston Psychology and Wellness, Pllc | Psychologist | 1111 North Loop W Ste 820, Houston, TX 77008-4715 | 2017-11-13 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on MISTI NICHOLSON.
| 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.