NICOLE SAPONE MANDRYCKY (NPI# 1073015814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073015814 |
| Entity Type | Individual |
| Full Name | NICOLE SAPONE MANDRYCKY |
| Credential | AGACNP-BC |
| Practice Address |
1161 21st Ave. S Mcn D2106 Nashville TN 37232 |
| Mailing Address |
1401 3rd Ave N Apt 514 Nashville TN 37208-3287 |
| Practice Telephone | 6153434665 |
| Mailing Telephone | 7164913181 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
24032 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1161 21ST AVE. S MCN D2106 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| 1467972166 | Sophia Akosua Bampoh | Student in an Organized Health Care Education/Training Program | Department of Medicine - Vanderbilt University Med. Ctr, D-3100 Medical Center North, Nashville, TN 37232 | 2017-06-23 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| 1720548225 | Jonathan Kipp Shipley | Nurse Practitioner | 1161 21st Ave S Rm T-1218, Nashville, TN 37232-0001 | 2019-03-21 |
| 1972013605 | Madeline Grace Crego | Nurse Practitioner | 1215 21st Ave, Mcen, Suite 5140, Nashville, TN 37232-8802 | 2017-10-09 |
| 1528598570 | Richard Jason Ramirez | Nurse Practitioner | 1210 Medical Center Dr, Nashville, TN 37232-2080 | 2017-06-13 |
| 1669918959 | Jessi-ann B'dot Michaelson | Nurse Practitioner | 4220 Harding Pike Ste 330, Nashville, TN 37205-2005 | 2017-01-11 |
| 1720437411 | Nichole Johnson | Nurse Practitioner | 2200 Childrens Way # Way7, Nashville, TN 37232-0005 | 2016-06-03 |
| 1205209681 | Janine Terry | Nurse Practitioner | Mrb Iv Rm 1030c, Campus Box 0252, Nashville, TN 37232-0001 | 2015-11-05 |
| 1700259421 | Allison Walker | Nurse Practitioner | 3601 Th Vanderbilt Clinic, Nashville, TN 37232-6838 | 2015-11-03 |
| Find all providers in NASHVILLE | ||||
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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.