MRS. NICOLE LYNN MINNIS (NPI# 1063501351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063501351 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE LYNN MINNIS |
| Credential | MA, LLP |
| Practice Address |
218 Fast Ice Dr Midland MI 48642-6167 |
| Mailing Address |
8141 Creston Dr Freeland MI 48623-8722 |
| Practice Telephone | 9896312320 |
| Practice Fax Number | 9896319214 |
| Mailing Telephone | 9892450371 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301011787 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073015715 | Nicole Minnis | Specialist/Technologist | 11 Hynes Ct, Rochester, NH 03839-5432 | 2018-03-07 |
| Street Address |
218 FAST ICE DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-6167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560820 | Jessica Lynn Klatt | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2019-07-20 |
| 1639661630 | Ariel Dawn Tausk | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-06-05 |
| 1295226769 | Rashell Byrski | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-05-21 |
| 1548761745 | Jenae Eva Finney | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-02-22 |
| 1578070124 | Jessica Sansoucie | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-01-04 |
| 1528583432 | Trisha Powell | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-11 |
| 1972028934 | Pamela Lane Graber | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-10 |
| 1821528845 | Melissa Ann Gilbert | Peer Specialist | 218 Fast Ice Dr, Midland, MI 48642 | 2017-06-13 |
| 1801324330 | Rachel Lightfoot | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-05-29 |
| 1609311950 | Joanie Lynne Anderson | Peer Specialist | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225585847 | Paula Shantel Alexis Mackey | Psychologist | 3309 Haynes Ave, Midland, TX 79707-3600 | 2016-09-01 |
| 1326212168 | Teresa Jean Lynch | Psychologist | 1717 E Sugnet Rd, Midland, MI 48642-3827 | 2008-04-14 |
| 1528251097 | Tracey M Allan | Psychologist | 211 N Saginaw Rd, Midland, MI 48640-3350 | 2007-08-19 |
| 1700086634 | Henry Chiyung Chung | Psychologist | 3115 Dawn Dr, Midland, MI 48642-4026 | 2007-07-19 |
| 1336281096 | Joseph Lloyd Tierney | Psychologist | 607 Gordon St, Midland, MI 48640 | 2007-02-12 |
| 1740370089 | Behavioral Medicine Associates of Mid Michigan PC | Psychologist | 1205 E Wackerly St, Midland, MI 48642-7035 | 2006-10-16 |
| 1871693481 | Jennifer Anne Lombardo | Psychologist | 104 W Wackerly St, Midland, MI 48640-2791 | 2006-09-24 |
| 1154338754 | Bart Eugene Barto | Psychologist | 10112 W County Road 54, Midland, TX 79707-1319 | 2006-08-03 |
| 1457321291 | Lynn Elaine Simons | Psychologist | 1108 Ashman St, Midland, MI 48640-5470 | 2006-01-24 |
| 1245889369 | Elizabeth Zimmermann | Psychologist | 720 W Wackerly St, Midland, MI 48640-2769 | 2019-09-11 |
| Find all providers in MIDLAND | ||||
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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.