NICHOLAS NIEMYER


Address: 37000 N Gantzel Rd, Queen Creek, AZ 85140
Phone: 6024768962

NICHOLAS NIEMYER (NPI# 1013354489) 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) 1013354489
Entity Type Individual
Full Name NICHOLAS NIEMYER
Credential RN
Practice Address 37000 N Gantzel Rd
Queen Creek
AZ 85140
Mailing Address 645 E Missouri Ave Ste 205
Phoenix
AZ 85012-1334
Practice Telephone 6024768962
Mailing Telephone 6024768962
Mailing Fax Number 9546184766
Enumeration Date 2013-05-26
Last Update Date 2019-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
RN111478 AZ Nursing Service Providers
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
AP8087 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5414 Fredericksburg Rd Ste 100, San Antonio, TX 782293646 2105418281 2105419123

Office Location

Street Address 37000 N GANTZEL RD
City QUEEN CREEK
State AZ
Zip Code 85140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346866886 Paul G Morris Nurse Practitioner 37000 N Gantzel Rd, Queen Creek, AZ 85140-7303 2020-06-20
1043853294 Daniella Rochelle Cleveland Nurse Practitioner 37000 N Gantzel Rd, Queen Creek, AZ 85140-7303 2019-10-21
1770900920 Alma June Outen Nurse Practitioner 37000 N Gantzel Rd, Queen Creek, AZ 85140-7303 2014-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801429634 Bhsm Rehabilitation, LLC Clinic/Center 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 2020-02-20
1801455712 Jose Enrique Knox Specialist/Technologist, Other 36018 North Secret Garden Path, Queen Creek, AZ 85140 2019-06-13
1629546171 San Tan Valley Oral Facial and Implant Surgery Pllc Oral & Maxillofacial Surgery 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 2018-11-02
1780164582 Safeway Inc Durable Medical Equipment & Medical Supplies 40950 N Ironwood Dr, Queen Creek, AZ 85140 2018-08-21
1497249452 San Tan Primary Care PC Family Medicine 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 2018-06-21
1306386115 Veronica Gonzalez Licensed Practical Nurse 733 E Angeline Ave, Queen Creek, AZ 85140 2017-02-27
1194198697 Amanda Ellis Residential Treatment Facility, Physical Disabilities 381 East Brook Street, San Tan Valley, AZ 85140 2015-11-05
1043688336 Felicia D Adams Day Training/Habilitation Specialist 1074 E. Press Rd, San Tan Valley, AZ 85140 2015-09-03
1376928598 Amy Burks Physical Therapy Assistant 1479 E Oak Rd, San Tan Valley, AZ 85140 2015-07-29
1316367121 Shanaya Suchak Internal Medicine 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 2014-04-19
Find all providers in zip 85140

Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992946065 Kelly Ann Woody Nurse Practitioner 300 W Clarendon Ave., # 375, Phoenix, AZ 85013-3420 2009-03-18
1588833537 Nancy C Broc Nurse Practitioner 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 2008-02-25
1013158195 Lisa M Dimenna Nurse Practitioner 1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073 2009-03-18
1578703542 Megan Marie Shea Nurse Practitioner 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 2009-03-03
1598912289 Susan Beaupre Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1174770853 Susan Moore Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1336396019 Karen Duran Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1235386913 George Destefano Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1104073881 Antoinette Stouvenel Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1902053689 Karen Graves Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
Find all providers with the same taxonomy

Competitor

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City QUEEN CREEK
Zip Code 85140

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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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