NICOLE HOLDER (NPI# 1073004628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073004628 |
| Entity Type | Individual |
| Full Name | NICOLE HOLDER |
| Credential | REGISTERED NURSE |
| Practice Address |
14202 20th Ave Flushing NY 11351-3000 |
| Practice Telephone | 7185590555 |
| Mailing Telephone | 9175633350 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
747804 | NY | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4220 149th St, Flushing, NY 113551012 | 7185590555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314559 | Nicole Holder | Licensed Practical Nurse | 1250 Morrison Ave, Bronx, NY 10472-2716 | 2019-12-24 |
| Street Address |
14202 20TH AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11351-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902007578 | Sadina L. Fischer | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2007-05-30 |
| 1114528106 | Chartonnai Alexi Taylor | Social Worker | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-11-05 |
| 1063020519 | Jeremy Allan James | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-07-21 |
| 1396364618 | Conor Ross Ohland | Counselor | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-04-16 |
| 1205486933 | Elizabeth Morrison | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-15 |
| 1760032668 | Dominique Josephine Lippolis | Social Worker | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-13 |
| 1417507369 | Jessica Asherian | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-12 |
| 1114573243 | Olivia Marie Delisa | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-08-14 |
| 1649823899 | Taylor Paige Logerfo | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-07-17 |
| 1841850344 | Merovee Georgette Kahouo | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578087045 | Tiare Martinez | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue Flushing, Flushing, NY 11351 | 2017-07-27 |
| 1285156919 | Anita Elaine Robinson | Peer Specialist | 142-02 20 3rd Floor, Flushing, NY 11351 | 2017-07-14 |
| 1386008795 | Denise Dougherty | Case Manager/Care Coordinator | 142-02 20th Ave, Flushing, NY 11351 | 2016-04-12 |
| 1386019149 | Mary F. Raggio | Peer Specialist | 142-02 20th Avenue 3rd Floor, Psch, Flushing, NY 11351 | 2015-12-04 |
| 1518338607 | Kirby Goldberg | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, The Pederson-krag Center, Flushing, NY 11351 | 2015-10-14 |
| 1356748362 | Coraine Coretta Burgess I | Registered Nurse | 14202 20th Avenue, Flushing, NY 11351 | 2014-11-20 |
| 1457838856 | Rachel Schaller | Student in an Organized Health Care Education/Training Program | 14202 20th Ave Fl 3, Flushing, NY 11351 | 2018-07-27 |
| 1154812469 | Samantha Nisi | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, Flushing, NY 11351 | 2018-05-22 |
| 1942791520 | Judith Elaine Utting | Registered Nurse | 142-02 20th Ave, Flushing, NY 11351 | 2018-05-19 |
| 1174022156 | Jonathan Sem | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, Flushing, NY 11351 | 2018-02-06 |
| Find all providers in zip 11351 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366851 | Margaret O'neill | Registered Nurse | 17209 Crocheron Ave C4, Flushing, NY 11358 | 2017-06-26 |
| 1649518242 | Michele Adler | Registered Nurse | 7720 167th St, Flushing, NY 11366-1304 | 2013-01-17 |
| 1598276081 | Richard Stephen Francis | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407661 | Jeffrey June Angeles | Registered Nurse | 8020 Broadway Apt 4m, Elmhurst, NY 11373-3104 | 2020-11-07 |
| 1760083000 | Misterline Marie Parkes | Registered Nurse | 648 E 105th St, Brooklyn, NY 11236-2506 | 2020-11-03 |
| 1790384881 | Sarah Bast | Registered Nurse | 259 Ithaca Rd, Spencer, NY 14883-9370 | 2020-10-20 |
| 1114525797 | Lavern H Simms | Registered Nurse | 207 Long Beach Rd, Hempstead, NY 11550-7314 | 2020-10-15 |
| 1205434453 | Aida Cino | Registered Nurse | 1522 W 1st St Fl 2, Brooklyn, NY 11204-3501 | 2020-10-10 |
| 1902412968 | Elizabeth Jane Harbin | Registered Nurse | 810 Curtis Ave, Staten Island, NY 10310-2611 | 2020-09-16 |
| 1205441946 | Laura Innes | Registered Nurse | 6 Aldar Ct, Cortlandt Manor, NY 10567-1304 | 2020-09-10 |
| 1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
| 1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
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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.