NICOLE MARIE TOD


Address: 1500 S Main Street, Fort Worth, TX 76104
Phone: (817) 702-1173

NICOLE MARIE TOD (NPI# 1922537562) 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) 1922537562
Entity Type Individual
Full Name NICOLE MARIE TOD
Credential DO
Practice Address 1500 S Main Street
Fort Worth
TX 76104
Mailing Address 1500 S Main St
Fort Worth
TX 76104-4917
Practice Telephone (817) 702-1173
Mailing Telephone 8177021173
Enumeration Date 2017-06-07
Last Update Date 2017-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1500 S MAIN STREET
City FORT WORTH
State TX
Zip Code 76104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497274575 Tarrant County Hospital District Pharmacy 1500 S Main Street, Opc-1, Fort Worth, TX 76104-4917 2017-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
1336509934 Amber Katers Speech-Language Pathologist 1000 Saint Louis, Suite 102, Fort Worth, TX 76104 2016-02-25
Find all providers in zip 76104

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607373 Benjamin Allen Barrett Student in an Organized Health Care Education/Training Program 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 2020-10-17
1538766597 Billy Derek Huddleston Student in an Organized Health Care Education/Training Program 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 2020-10-02
1942828371 Ellener Harper Student in an Organized Health Care Education/Training Program 9232 Oldwest Trl, Fort Worth, TX 76131-3114 2020-07-13
1396374005 Mikel Robert Bell Student in an Organized Health Care Education/Training Program 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 2020-04-04
1750919171 William Thomas Cates Student in an Organized Health Care Education/Training Program 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 2020-03-31
1710514690 Javier Eduardo Ordonez Student in an Organized Health Care Education/Training Program 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 2020-03-23
1548896749 Eric Bash Student in an Organized Health Care Education/Training Program 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 2020-03-19
1700417821 Abigail U Davis Student in an Organized Health Care Education/Training Program 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 2020-01-28
1699312439 Lacey Jane Arnett Student in an Organized Health Care Education/Training Program 3305 West Cantey St, Fort Worth, TX 76129-0001 2019-11-27
1699322396 Anastasia Davis Student in an Organized Health Care Education/Training Program 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 2019-08-19
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

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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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