NICOLE DEFREEZE (NPI# 1073985040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073985040 |
| Entity Type | Individual |
| Full Name | NICOLE DEFREEZE |
| Practice Address |
291 Clear Sky Ct Suite C Clarksville TN 37043-5951 |
| Practice Telephone | 9318962223 |
| Mailing Telephone | 9318962223 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| Street Address |
291 CLEAR SKY CT SUITE C |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740271048 | Jessica A Carter | Physical Therapist | 291 Clear Sky Ct, C, Clarksville, TN 37043-5653 | 2005-11-04 |
| 1295251130 | Anna Victoria Brooks | Behavioral Analyst | 291 Clear Sky Ct, Clarksville, TN 37043-5951 | 2017-08-22 |
| 1548615552 | Primary Care Plus | Nurse Practitioner | 291 Clear Sky Ct, B, Clarksville, TN 37043-5951 | 2016-04-27 |
| 1194182220 | Kira Jenkins | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2016-01-20 |
| 1871972174 | Ashli Sweat | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2015-05-20 |
| 1386039329 | Sara Shepard | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2015-04-06 |
| 1801287545 | Steffani Ferguson | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2015-02-17 |
| 1407262256 | Krista White | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2014-07-01 |
| 1750795795 | Lisa Drumb | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2014-06-18 |
| 1285045088 | Heather Martin | Counselor | 291 Clear Sky Ct, Suite C, Clarksville, TN 37043-5951 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553599 | Spring Forth Counseling | Counselor | 2515 Wilma Rudolph Blvd Ste 107, Clarksville, TN 37040-5824 | 2020-06-22 |
| 1033734843 | Elizabeth Ann Abruzzese | Counselor | 404 Carson Bailey Ct, Clarksville, TN 37043-1543 | 2020-06-08 |
| 1811511595 | Tamika Payne | Counselor | 3407 Queensbury Rd, Clarksville, TN 37042-8152 | 2020-05-29 |
| 1457988370 | Chandra Christine Moma | Counselor | 2517 Remington Trce, Clarksville, TN 37043-1619 | 2020-03-23 |
| 1932735024 | Douglas Anthony Dixon | Counselor | 1611 Johnson Ln, Clarksville, IN 47129-1405 | 2020-03-20 |
| 1023658648 | Aimee Vaughn | Counselor | 3452 Heatherwood Trce, Clarksville, TN 37040-5735 | 2020-01-11 |
| 1811539539 | Phillip Haney | Counselor | 2032 Lintwood Dr, Clarksville, TN 37042-4107 | 2019-10-15 |
| 1396387171 | Phoenix Rising Counseling LLC | Counselor | 2535 Madison St Ste E, Clarksville, TN 37043-3921 | 2019-10-12 |
| 1194371807 | Elizabeth B Thomas | Counselor | 1662 Golf Club Ln, Clarksville, TN 37043-4897 | 2019-08-18 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on NICOLE DEFREEZE.
| 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.