MICHELLE I NICOLETTI (NPI# 1881713428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881713428 |
Entity Type | Individual |
Full Name | MICHELLE I NICOLETTI |
Credential | DNP, RN, FNP-BC |
Practice Address |
7125 New Sanger Ave Ste A Waco TX 76712-4054 |
Mailing Address |
Po Box 21327 Waco TX 76702-1327 |
Practice Telephone | 2543995400 |
Practice Fax Number | 2547728669 |
Mailing Telephone | 2543995441 |
Mailing Fax Number | 2547767121 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
251376 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 327807901 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
601 W State Hwy 6, 105, Waco, TX 767105575 | 2547416113 | 2547416629 |
Street Address |
7125 NEW SANGER AVE STE A |
City | WACO |
State | TX |
Zip Code | 76712-4054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891799300 | William R. Pitts | Internal Medicine | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2005-06-13 |
1861902900 | Amy Gwyn Mercer | Nurse Practitioner | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2017-10-03 |
1356850259 | Veronica D Rosalez | Nurse Practitioner | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2017-09-22 |
1215488507 | Travis R. Noble | Nurse Practitioner | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2016-10-20 |
1659756237 | Tesa Alene Spell | Nurse Practitioner | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2015-07-24 |
1386041309 | Annie P. Stadstad | Nurse Practitioner | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2014-11-20 |
1659715696 | Clay Matthew Barbin | Internal Medicine | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2013-04-22 |
1225342397 | Timothy Naff Ball | Internal Medicine | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2010-08-01 |
1699902585 | Brian Cody Barnett | Internal Medicine | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2009-06-17 |
1396904553 | Shawn J Skeen | Internal Medicine | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2008-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
Find all providers in zip 76712 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881209559 | Veronica House | Nurse Practitioner | 358 Flint Rd, Waco, KY 40385-9714 | 2020-09-10 |
1215409065 | Ashley Danielle Edmondson | Nurse Practitioner | 318 Richland West Cir Ste A, Waco, TX 76712-7919 | 2018-12-18 |
1417426529 | Shane Moore | Nurse Practitioner | 7030 New Sanger Ave Ste 204, Waco, TX 76712-4074 | 2018-11-19 |
1588148290 | Catherine Paige Pollard | Nurse Practitioner | 120 Hillcrest Medical Blvd Ste 101, Waco, TX 76712-8949 | 2018-09-18 |
1578075081 | Ligia Liana Tofanel | Nurse Practitioner | 333 Londonderry Dr Ste 200, Waco, TX 76712-7930 | 2017-10-25 |
1114454410 | Joyce Belinda Ivie | Nurse Practitioner | 611 W Hwy 6 Ste 108, Waco, TX 76710-7545 | 2017-05-17 |
1700233004 | Kameron Harrison | Nurse Practitioner | 601 W Hwy 6 Ste 101, Waco, TX 76710-5592 | 2016-05-17 |
1508293705 | Katie A Carranza | Nurse Practitioner | 1800 Gurley Street, Waco, TX 76706-4025 | 2013-10-02 |
1710329859 | Rachel Paige Harrington | Nurse Practitioner | 4601 N. 19th Street, Bldg H, Waco, TX 76708-1261 | 2013-07-17 |
1255770970 | Michele Davis Groetzinger | Nurse Practitioner | 201 Westlane Cir, Waco, TX 76712-3186 | 2013-06-15 |
Find all providers in WACO |
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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.