NICOLETT M WESTON (NPI# 1003076639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003076639 |
| Entity Type | Individual |
| Full Name | NICOLETT M WESTON |
| Other Name | NICOLETT M TWARDOSKI |
| Credential | APRN |
| Practice Address |
1037 Main St Corvallis MT 59828-9374 |
| Mailing Address |
1224 W Main St Hamilton MT 59840-2338 |
| Practice Telephone | 4069614661 |
| Practice Fax Number | 4069614260 |
| Mailing Telephone | 4063754823 |
| Mailing Fax Number | 4063754846 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 29947 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1003076639 | 05 | |
| MT | 1003076639 | 05 | |
| ID | 1003076639 | 05 |
| Street Address |
1037 MAIN ST |
| City | CORVALLIS |
| State | MT |
| Zip Code | 59828-9374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720431729 | Madeline Grace Mussman | Family Medicine | 1037 Main St, Corvallis, MT 59828-9004 | 2016-07-14 |
| 1841495512 | April L Weinberger | Family Medicine | 1037 Main St, Corvallis, MT 59828-9374 | 2007-06-20 |
| 1124073341 | Yvonne K Courchesne | Family Medicine | 1037 Main St, Corvallis, MT 59828-9374 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891080529 | Corvallis Physical Therapy, PC | Clinic/Center | 1050 Eastside Hwy, Corvallis, MT 59828 | 2011-06-10 |
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
| 1104018639 | Carla R Albert | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828 | 2007-08-17 |
| 1093870560 | Corvallis Drug Inc | Durable Medical Equipment & Medical Supplies | 1029 Main Street, Corvallis, MT 59828-0009 | 2006-12-26 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
| 1356726111 | Kellie D Mildenberger | Social Worker | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2015-07-22 |
| 1457405680 | Phyllis Jean Bookbinder | Counselor | 1135 Catherine Ln, Corvallis, MT 59828-9321 | 2007-01-23 |
| 1508875428 | Janie Marie Hett | Physical Medicine & Rehabilitation | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2006-08-07 |
| Find all providers in zip 59828 | ||||
| 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 |
|---|---|---|---|---|
| 1184221780 | Catherine Slade | Nurse Practitioner | 3640 Nw Samaritan Dr # 100, Corvallis, OR 97330-3784 | 2020-10-06 |
| 1275940728 | Brandy Sprick | Nurse Practitioner | 3600 Nw Samaritan Dr Ste E350, Corvallis, OR 97330-3737 | 2014-07-16 |
| 1558453811 | Keller Elizabeth Kendall | Nurse Practitioner | Oregon State University, Student Health, 201 Plageman, Corvallis, OR 97331-5801 | 2006-09-28 |
| 1205886025 | Angela K Reploeg | Nurse Practitioner | 2292 Nw Kings Blvd, Corvallis, OR 97330-3923 | 2006-05-11 |
| 1467917187 | Leon R Aylett IIi | Nurse Practitioner | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2019-02-06 |
| 1619344520 | Nicole Fisher | Nurse Practitioner | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-08-26 |
| 1669860979 | Vanessa Kelly Mizak | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2015-01-08 |
| 1083002851 | Julie Rogers | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-01-02 |
| 1497014658 | Courtney Louise Feral | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2012-05-09 |
| 1063787851 | Good Samaritan Hospital, Corvallis | Nurse Practitioner | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3756 | 2012-03-13 |
| Find all providers in CORVALLIS | ||||
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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.