NICOLLET L HARDCASTLE (NPI# 1942864459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942864459 |
| Entity Type | Individual |
| Full Name | NICOLLET L HARDCASTLE |
| Practice Address |
4460 S Highland Dr Salt Lake City UT 84124-3543 |
| Practice Telephone | 8889494864 |
| Mailing Telephone | 8889494864 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
10642010-3102 | UT | Nursing Service Providers |
| Street Address |
4460 S HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396723334 | Andra Marie Bruce | Social Worker | 4460 S Highland Dr, Ste 230, Salt Lake City, UT 84124-3543 | 2006-01-09 |
| 1952917080 | Darcie Bakhouche | Community Health Worker | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2020-09-23 |
| 1235755695 | Mariela Gil-nunez | Community Health Worker | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2020-06-22 |
| 1568088912 | Claudie Alice Jan | Community Health Worker | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2020-06-22 |
| 1487277919 | Kade Fasig | Case Manager/Care Coordinator | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2020-05-19 |
| 1528607942 | Steven Spackman | Community Health Worker | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2020-01-02 |
| 1225677651 | Micheala Zarbock | Community Health Worker | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2020-01-02 |
| 1508405176 | Miranda Maxwell | Community Health Worker | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-12-31 |
| 1154973501 | Sarah Dawn Barton | Case Manager/Care Coordinator | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-07-15 |
| 1932751955 | Benjamin Lee Swift | Case Manager/Care Coordinator | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669851382 | Julie Fitzwilliam | Registered Nurse | 525 E 100 S Ste 5000, Salt Lake City, UT 84102-1992 | 2015-05-27 |
| 1558626135 | Piper Lynn Dereus | Registered Nurse | 249 S 700 E Apt 57, Salt Lake City, UT 84102-2145 | 2012-07-10 |
| 1639157662 | Sharon Seeley | Registered Nurse | 4460 Highland Dr, Suite #100, Salt Lake City, UT 84124-3543 | 2006-01-09 |
| 1053302406 | Elizabeth Mary Katomski | Registered Nurse | 550 W 700 S, Salt Lake City, UT 84101-2227 | 2005-11-03 |
| 1164411252 | Tamara L Putnam | Registered Nurse | 280 E 600 S, Salt Lake City, UT 84111-3564 | 2005-10-20 |
| 1285267054 | Andrew M Walker | Registered Nurse | 500 Foothill Dr., Salt Lake City, UT 84148-0001 | 2020-02-19 |
| 1235697996 | Lisa Turner | Registered Nurse | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-03-12 |
| 1861958506 | Pamrose Sitake | Registered Nurse | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2019-02-19 |
| 1841756020 | Trina Mallett | Registered Nurse | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-02-13 |
| 1841764529 | Michael Hacking | Registered Nurse | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-01-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on NICOLLET L HARDCASTLE.
| 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.