NICOLE MENDOLLA


Address: 1617 Sherman Ave, Madison, WI 53704-5930
Phone: 8009630085

NICOLE MENDOLLA (NPI# 1861943102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861943102
Entity Type Individual
Full Name NICOLE MENDOLLA
Practice Address 1617 Sherman Ave
Madison
WI 53704-5930
Mailing Address 3188 Bookham Dr
Sun Prairie
WI 53590-4594
Practice Telephone 8009630085
Enumeration Date 2016-10-21
Last Update Date 2016-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 734233 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1617 SHERMAN AVE
City MADISON
State WI
Zip Code 53704-5930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871515122 Lisa Ann Olson Registered Nurse 1617 Sherman Ave, Madison, WI 53704-5930 2006-07-24
1225680465 Laura L Weaver Nurse Practitioner 1617 Sherman Ave, Madison, WI 53704-5930 2019-07-09
1336606359 Jamie Christine Hanrahan Nurse Practitioner 1617 Sherman Ave, Madison, WI 53704-5930 2019-02-26
1306342464 Lani Holmes Pharmacist 1617 Sherman Ave, Madison, WI 53704-5930 2018-04-05
1972009017 Jean Kveberg Pharmacist 1617 Sherman Ave, Madison, WI 53704-5930 2018-04-05
1679023279 Jennifer Ryan Nurse Practitioner 1617 Sherman Ave, Madison, WI 53704-5930 2016-10-06
1750763470 Michele Mae Wiese Registered Nurse 1617 Sherman Ave, Madison, WI 53704-5930 2015-06-19
1356661490 Sarah Ann Mathews Cronin Nurse Practitioner 1617 Sherman Ave, Madison, WI 53704-5930 2010-06-10
1437488517 Jane Applegate Physician Assistant 1617 Sherman Ave, Madison, WI 53704-5930 2009-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407369614 Joseph Michael Oakley II Chiropractor 2801 International Ln Ste 102, Madison, WI 53704 2017-11-09
1972015048 Suzanne Lee Psychiatry & Neurology 1835 Winnebago St. #402, Madison, WI 53704 2017-10-30
1831554021 Gideon Kazah Licensed Practical Nurse 2488 Dahle Street, Madison, WI 53704 2015-12-15
1174952220 Group Health Cooperative of South Central Wisconsin Madison College Durable Medical Equipment & Medical Supplies 1705 Hoffman Street, Madison, WI 53704 2013-11-08
1407190127 Ashley Marie Snyder Social Worker 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 2012-11-19
1619230638 Dawn Lynette Butts Optometrist 4208 E Washington Ave, Madison, WI 53704 2012-06-25
1679865992 Sharon Kelley Psychologist 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 2011-05-04
1578730412 St. Charles Youth & Family Services Community Based Residential Treatment Facility, Mental Illness 310 Troy Dr, Cottage B, Madison, WI 53704 2008-05-09
1538346960 Elizabeth Ann Reiser-loeber Dentist 1001 N. Sherman Ave, Madison, WI 53704 2008-01-28
1861683088 Stephen Dale Flach Internal Medicine Covance, 3402 Kinsman Blvd, Madison, WI 53704 2007-08-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235740556 Lucille Elizabeth Nathwani Nurse Practitioner Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 2020-08-11
1770193419 Madison Emergency Group, PC Nurse Practitioner 1740 Lions Club Rd, Madison, GA 30650-4762 2020-08-07
1376169920 Brittany Linton Nurse Practitioner 149 Fountains Blvd, Madison, MS 39110-6344 2020-06-19
1811517402 Lillian Teicher Branham Nurse Practitioner 382 Slaughter Rd, Madison, AL 35758-2008 2020-04-23
1275179509 Claire E P Bergman Nurse Practitioner 20 S Park St Ste 360, Madison, WI 53715-1387 2019-11-21
1750923538 Samuel Scott Mccullough IIi Nurse Practitioner 120 Fountains Blvd # 1000, Madison, MS 39110-6343 2019-10-12
1083266779 Heather Hontzas Nurse Practitioner 159 Fountains Blvd Ste A, Madison, MS 39110-6344 2019-07-12
1114404118 Allison Dyrek Nurse Practitioner 20 S Park St Ste 405, Madison, WI 53715-1378 2018-07-23
1851807697 Kristi M Batchelor Nurse Practitioner 20 S Park St Fl 4, Madison, WI 53715 2017-12-15
1366962045 Katherine Marie Domes Nurse Practitioner 5804 Halley Way, Madison, WI 53718-2934 2017-06-22
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Competitor

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City MADISON
Zip Code 53704

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Dataset Information

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.

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