NICHOLE DIANE PETTWAY (NPI# 1851749162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851749162 |
| Entity Type | Individual |
| Full Name | NICHOLE DIANE PETTWAY |
| Credential | NCAC1 CATS 1 |
| Practice Address |
839 Monaco Dr Lemoore CA 93245-4151 |
| Practice Telephone | 6507711908 |
| Practice Fax Number | 4157030550 |
| Mailing Telephone | 6507711908 |
| Mailing Fax Number | 4157030550 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
143628I | CA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
015838 | CA | Behavioral Health & Social Service Providers |
| Street Address |
839 MONACO DR |
| City | LEMOORE |
| State | CA |
| Zip Code | 93245-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649794975 | Fil-am Medical Transportation Service | Home Health | 873 Sheffield Circle, Lemoore, CA 93245 | 2017-07-28 |
| 1568918290 | Samantha Crystal Avila | Student in an Organized Health Care Education/Training Program | 1114 Paradise Dr., Lemoore, CA 93245 | 2016-09-01 |
| 1306042718 | Denise M. Riemer, Dds A Professional Corporation | Dentist | 446 C St., Lemoore, CA 93245 | 2007-06-22 |
| 1295952893 | Kathy Marie Trujeque | Counselor | 122 Quandt Place # B, Lemoore, CA 93245 | 2007-04-18 |
| 1194847848 | Allen Bruce Short | Dentist | 442 C St, Lemoore, CA 93245 | 2007-04-04 |
| 1043360530 | William N Uyeyama | Dentist | 442 C Street, Lemoore, CA 93245 | 2007-01-10 |
| 1063577401 | Central Union Elementary School District | Local Education Agency (LEA) | 15783 18th Avenue, Lemoore, CA 93245 | 2006-12-26 |
| 1699782516 | Jeffrey Garcia | Optometrist | 162 W D Street, Lemoore, CA 93245 | 2006-08-02 |
| 1932143542 | Herbert Lee Starks Jr. | Physical Therapist | 899 Dogwood Ave, Apt 10c, Lemoore, CA 93245 | 2006-06-15 |
| 1760686463 | Judd Atwood Whiting | Anesthesiology | 937 Franklin Ave, Dept of Anesthesia, Lemoore, CA 93245 | 2007-06-14 |
| Find all providers in zip 93245 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659820538 | Vanessa Renee Martinez | Counselor | 1535 Atlantic Ave, Lemoore, CA 93245-3837 | 2016-10-03 |
| 1548625577 | Maria Stevens | Counselor | 11517 15th Ave, Lemoore, CA 93245-9508 | 2015-12-17 |
| 1093186462 | Josie Carroway | Counselor | 2551 A Kennedy, Lemoore, CA 93254 | 2015-10-12 |
| 1134517295 | Ronette Cotta-garcia | Counselor | 289 Hogan Dr, Lemoore, CA 93245-9758 | 2014-12-24 |
| 1295952893 | Kathy Marie Trujeque | Counselor | 122 Quandt Place # B, Lemoore, CA 93245 | 2007-04-18 |
| 1417070541 | Annette Marie Wynfield | Counselor | 1736 Fireside Way, Lemoore, CA 93245-1714 | 2007-04-06 |
| 1285158659 | Cipriano Quintero | Counselor | 11517 15th Ave, Lemoore, CA 93245-9508 | 2017-07-27 |
| 1386194348 | Abelardo Sosa Jr. | Counselor | 11517 15th Ave, Lemoore, CA 93245-9508 | 2016-10-13 |
| 1336590256 | Emma Elenes | Counselor | 11517 15th Ave, Lemoore, CA 93245-9508 | 2016-06-22 |
| 1073969242 | Curtis Foster | Counselor | 11517 15th Ave, Lemoore, CA 93245-9508 | 2016-05-06 |
| Find all providers in LEMOORE | ||||
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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.