NICOLE R HALL (NPI# 1992105621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992105621 |
| Entity Type | Individual |
| Full Name | NICOLE R HALL |
| Other Name | NICOLE BOEDEKER |
| Credential | NP |
| Practice Address |
2901 S Kinnickinnic Ave Milwaukee WI 53215 |
| Mailing Address |
2901 W Kinnickinnic River Pkwy 511 Milwaukee WI 53215 |
| Practice Telephone | 4146463985 |
| Mailing Telephone | 4146493780 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5951 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE | 5951-33 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038675 | Nicole Hall | Homemaker | 1745 Weather Stone Ln, Columbus, OH 43235-1985 | 2020-09-21 |
| 1568081974 | Nicole Marie Hall | Student in an Organized Health Care Education/Training Program | 374 Preston Ave, Lexington, KY 40502-1532 | 2020-04-15 |
| 1104389311 | Nicole Lea Hall | Social Worker | 3196 Silbury Hl, Downingtown, PA 19335-1933 | 2019-04-14 |
| 1457881385 | Nicole Angela Hall | Dentist | 7170 W Camino San Xavier # 101, Glendale, AZ 85308-0833 | 2017-06-13 |
| 1346787702 | Nicole Hall | Behavioral Analyst | 7135 Shannon Blvd, Fort Myers, FL 33908-4218 | 2017-01-24 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| 1215554928 | Nicole Hall | Case Manager/Care Coordinator | 338 Harris Hill Rd Ste 101, Williamsville, NY 14221-7472 | 2020-06-29 |
| 1447801725 | Nicole Renee Hall | Speech-Language Pathologist | 420 Bay Ave, Clearwater, FL 33756-5291 | 2019-09-27 |
| 1699335026 | Nicole Sue Hall | Physician Assistant | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2019-06-18 |
| 1154896066 | Nicole Latrice Hall | Behavior Technician | 313 Lennon Ln Ste 100, Walnut Creek, CA 94598-2460 | 2018-10-06 |
| Street Address |
2901 S KINNICKINNIC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1275964025 | Rocketship Education Wisconsin Inc. | Local Education Agency (LEA) | 3003 West Cleveland Avenue, Milwaukee, WI 53215 | 2013-12-04 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| 1841825759 | Brittany M Schoenick | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 102, Milwaukee, WI 53215-3660 | 2020-03-11 |
| 1154960201 | Scottie-lynn Hecht | Nurse Practitioner | 1020 N 12th St Ste 102, Milwaukee, WI 53233-1308 | 2020-01-06 |
| 1518505064 | Jennifer Nelson | Nurse Practitioner | 7725 W Burleigh St, Milwaukee, WI 53222-5003 | 2019-12-16 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1275188393 | Candace Bentley | Nurse Practitioner | 3842 N 24th St, Milwaukee, WI 53206-1423 | 2019-08-06 |
| 1669934022 | Michaella Cariello-becker | Nurse Practitioner | 2500 W Layton Ave Ste 30-40, Milwaukee, WI 53221-5420 | 2019-04-04 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457806390 | Katrina Buretta | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660 | 2016-08-21 |
| Find all providers in MILWAUKEE | ||||
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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.