KRISTEN MICHELLE NICHOLS (NPI# 1972143816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972143816 |
| Entity Type | Individual |
| Full Name | KRISTEN MICHELLE NICHOLS |
| Practice Address |
38882 Mentor Ave Willoughby OH 44094-7875 |
| Practice Telephone | 4405788200 |
| Mailing Telephone | 4405788200 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.135146.MEDS- | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| 1447885322 | Kristen Elizabeth Nichols | Social Worker | 2277 Grand Ave, Baldwin, NY 11510-3148 | 2020-03-11 |
| 1285285718 | Kristen Nichols | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-25 |
| 1265942486 | Kristen Ann Nichols | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2017-10-02 |
| 1710404702 | Kristen Busico Nichols | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-08-29 |
| 1053841064 | Kristen Marie Nichols | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A218, La Jolla, CA 92037-1711 | 2017-06-13 |
| 1043529886 | Kristen Nichols | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2010-09-28 |
| 1063590727 | Kristen L. Nichols | Emergency Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1467431874 | Kristen Benae Nichols | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2006-01-13 |
| Street Address |
38882 MENTOR AVE |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962510107 | Heather Marie Rice | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2006-08-28 |
| 1740895614 | Dwauna Morrow | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-09-09 |
| 1457964868 | Brandee Kelly | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-25 |
| 1124631866 | Robert Anthony Wilson | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1396358958 | Richard Thomas Sutton | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1285245779 | Michael Frier | Student in an Organized Health Care Education/Training Program | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1568072098 | Kathleen Marie Zarlinski | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1366052441 | Lauren Lavonne Lemons | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-04 |
| 1831707629 | Joseph Workman | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-07-17 |
| 1538782776 | Erika Lee Knight | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758101 | Jenna Leigh Spain | Licensed Practical Nurse | 34935 Aspen Wood Ln, Willoughby, OH 44094-4225 | 2018-11-05 |
| 1477028470 | Cherita M Glanton | Licensed Practical Nurse | 38465 North Ln Apt A103, Willoughby, OH 44094-7446 | 2018-10-05 |
| 1518483056 | Paris A Parker | Licensed Practical Nurse | 38516 Oak Hill Ln Apt 3, Willoughby, OH 44094-7661 | 2017-08-16 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1922467372 | Lakesha Cole | Licensed Practical Nurse | 38350 Oak Hill Ln Apt 1, Willoughby, OH 44094-7618 | 2016-02-14 |
| 1659743789 | Latoiya Talisha Jackson | Licensed Practical Nurse | 38280 Tamarac Blvd Apt# 102, Willoughby, OH 44094 | 2015-10-28 |
| 1205218401 | Cathy Lynn Coffee | Licensed Practical Nurse | 37312 Harlow Dr, Willoughby, OH 44094-5758 | 2015-06-24 |
| 1013327634 | Jenna Scotese | Licensed Practical Nurse | 5434 Cascade Ct Apt A, Willoughby, OH 44094-3511 | 2014-05-05 |
| 1871851808 | Shadreck Nyirenda | Licensed Practical Nurse | 37326 Grove Ave, Apartment 201, Willoughby, OH 44094-5965 | 2012-04-27 |
| 1770889479 | Nicole Marie Burton | Licensed Practical Nurse | 35049 N Turtle Trl Apt A, Willoughby, OH 44094-6611 | 2011-01-28 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.