CARLY NICHOLS (NPI# 1033765540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033765540 |
| Entity Type | Individual |
| Full Name | CARLY NICHOLS |
| Practice Address |
31330 Schoolcraft Rd Ste 200 Livonia MI 48150-2042 |
| Mailing Address |
5801 S Mcclintock Dr Ste 110 Tempe AZ 85283-6002 |
| Practice Telephone | 7345259712 |
| Mailing Telephone | 4807770607 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
31330 SCHOOLCRAFT RD STE 200 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073042834 | Maha Al-tamimi | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2017-06-06 |
| 1235780727 | Tom Abraham | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-25 |
| 1841840535 | Belinda Deem | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-16 |
| 1962052654 | James Baruffi | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-16 |
| 1316594138 | Lauren Reinaldo | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-26 |
| 1285281006 | Maggie Mills | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-26 |
| 1245886431 | Kelly O Sullivan | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-13 |
| 1265088777 | Sean M Ross | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-12 |
| 1831742402 | Kimberly Josey | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1205489861 | Alexis Watanabe | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742402 | Kimberly Josey | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1205489861 | Alexis Watanabe | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1265085831 | Jennifer Parrish | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1174176747 | William Mccabe | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1295388866 | Jaime Robeson | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1629621297 | Jessica Simon | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1992368922 | Rhiannon Lucatuorto | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-04-16 |
| 1295203271 | Lorna D Crafton | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2018-11-07 |
| 1194291062 | Jamie Kelly | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2018-10-18 |
| 1750885224 | Jose Seijas-cruz | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2018-03-20 |
| Find all providers in LIVONIA | ||||
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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.