NICOLE ANNE CLEM (NPI# 1023405222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023405222 |
| Entity Type | Individual |
| Full Name | NICOLE ANNE CLEM |
| Credential | ARNP |
| Practice Address |
1619 Creighton Rd Suite 1 Pensacola FL 32504-7152 |
| Mailing Address |
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152 |
| Practice Telephone | 8504444700 |
| Practice Fax Number | 8504447497 |
| Mailing Telephone | 8504444700 |
| Mailing Fax Number | 8504447497 |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2017-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9409592 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 1-133121 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016992700 | 05 | |
| FL | CAQH | 13548879 | 01 |
| FL | BCBSFL | Q3K4T | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779818 | Nicole Clem | Social Worker | 15 E Pleasant St, Springfield, OH 45506-2201 | 2020-01-23 |
| Street Address |
1619 CREIGHTON RD SUITE 1 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545566 | Humam Humeda | Internal Medicine | 1619 Creighton Rd, Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| 1720621774 | Aubri Rihan Velez | Rehabilitation Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2019-10-22 |
| 1992361372 | Danielle Smyly | Nurse Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2019-05-11 |
| 1578098695 | Priscilla Christine Phan | Physician Assistant | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2017-04-26 |
| 1881131621 | Fresenius Vascular Care of Pensacola Asc LLC | Clinic/Center | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2017-01-31 |
| 1285031963 | Fresenius Vascular Care Pensacola LLC | Radiology | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2014-11-25 |
| 1598199804 | Erin Elizabeth Luescher | Physician Assistant | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2013-08-23 |
| 1417296401 | Cindy Kathleen Lawrence | Nurse Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2013-02-11 |
| 1841265253 | Haitham O Qader | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2006-02-20 |
| 1285636472 | Ronnie D Wiles | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| 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 |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1275143760 | Katherine Brooke Barnes | Nurse Practitioner | 816 Tanglewood Dr, Pensacola, FL 32503-3224 | 2020-08-09 |
| 1306462700 | Jessica Hollingsworth | Nurse Practitioner | 4616 Marseille Dr, Pensacola, FL 32505-2624 | 2020-06-22 |
| 1427677756 | Buffi G Bailey | Nurse Practitioner | 5980 Osprey Pl, Pensacola, FL 32504-7938 | 2020-04-16 |
| 1295215911 | Selma Mehmedovic | Nurse Practitioner | 54 Assana Ct, Pensacola, FL 32506-9305 | 2018-08-21 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1750731774 | Gulf Coast Health Care LLC | Nurse Practitioner | 40 Palafox Pl Ste 400, Pensacola, FL 32502-5699 | 2016-06-21 |
| 1538563028 | Dana Bebber | Nurse Practitioner | 1230 Creighton Rd, Pensacola, FL 32504-7161 | 2014-10-13 |
| 1952702086 | Peggy Davis Neese | Nurse Practitioner | 7641 Old Hickory Dr, Pensacola, FL 32507-1682 | 2014-09-08 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on NICOLE ANNE CLEM.
| 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.