NATHAN LEE NICOLET (NPI# 1861678153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861678153 |
| Entity Type | Individual |
| Full Name | NATHAN LEE NICOLET |
| Credential | P.A.-C |
| Practice Address |
555 N Arlington Ave Reno NV 89503-4723 |
| Practice Telephone | 7757863040 |
| Practice Fax Number | 7757885216 |
| Mailing Telephone | 7757863040 |
| Mailing Fax Number | 7753233134 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10084 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME SUPPLIER NUMBER | 4292600001 | 01 |
| Street Address |
555 N ARLINGTON AVE |
| City | RENO |
| State | NV |
| Zip Code | 89503-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639377 | Renny Ravinder-singh Uppal | Orthopaedic Surgery | 555 N Arlington Ave, Reno, NV 89503-4723 | 2005-06-16 |
| 1851900237 | Cody Mitchell Killgore | Occupational Therapist | 555 N Arlington Ave, Reno, NV 89503-4723 | 2020-07-30 |
| 1225657422 | Sarah Pridham | Physical Therapist | 555 N Arlington Ave, Reno, NV 89503-4723 | 2020-04-09 |
| 1730726225 | Jeanette Katzenmeyer | Specialist/Technologist, Other | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-12-04 |
| 1255989513 | Rachel Petro-roy | Nurse Practitioner | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-08-29 |
| 1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
| 1770143356 | Cory Charles Wilcox | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-17 |
| 1578129003 | Roc Foundation | Orthopaedic Surgery | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-05-09 |
| 1922577113 | Cep America - Anesthesia PC | Anesthesiology | 555 N Arlington Ave, Reno, NV 89503-4723 | 2018-11-16 |
| 1881175172 | Joshua Lee | Physical Therapist | 555 N Arlington Ave, Reno, NV 89503-4723 | 2018-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194831529 | Suzanne E Flint | Physician Assistant | 555 N. Arlington Avenue, Reno, NV 89503-4724 | 2006-08-21 |
| 1609829274 | Cameron Michael Bergin | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2006-05-17 |
| 1336111061 | Terri L Elliott | Physician Assistant | 689 Sierra Rose Dr Ste B, Reno, NV 89511-2076 | 2006-02-06 |
| 1740271618 | Joseph Lawrence Olivarez | Physician Assistant | 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 | 2005-10-31 |
| 1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
| 1770143356 | Cory Charles Wilcox | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-17 |
| 1417513383 | Sydnii Mari Ray | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-05-15 |
| 1700343720 | Rachel Difelice | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-02-26 |
| 1265916803 | Matthew Thomas Pearce | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-09-19 |
| 1174001614 | Caitlin M Clarkin | Physician Assistant | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| Find all providers in RENO | ||||
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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.