NICHOLAS NIEMYER (NPI# 1013354489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
5414 Fredericksburg Rd Ste 100, San Antonio, TX 782293646 | 2105418281 | 2105419123 |
Street Address |
37000 N GANTZEL RD |
City | QUEEN CREEK |
State | AZ |
Zip Code | 85140 |
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 |
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 Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
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 |
City | QUEEN CREEK |
Zip Code | 85140 |
Please comment or provide details below to improve the information on NICHOLAS NIEMYER.
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.