NICOLE MAYBERRY O'DONNELL (NPI# 1093260226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093260226 |
| Entity Type | Individual |
| Full Name | NICOLE MAYBERRY O'DONNELL |
| Other Name | JACQUELINE NICOLE MAYBERRY |
| Credential | PA-C |
| Practice Address |
901 45th Street Kimmel Building West Palm Beach FL 33407 |
| Practice Telephone | 5618445255 |
| Practice Fax Number | 5618445245 |
| Mailing Telephone | 5618445255 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
GA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9110941 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 Johnson Ferry Rd, Marietta, GA 300682728 | 4042551933 | 4042567924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124668017 | Nicole O'donnell | Occupational Therapist | 6451 N Charles St, Baltimore, MD 21212-1010 | 2020-01-09 |
| 1043708456 | Nicole O'donnell | Nurse Practitioner | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2018-05-01 |
| 1285145490 | Nicole Lynn O'donnell | Counselor | 2882 Cricket Ln, Willoughby Hills, OH 44092-1412 | 2017-10-14 |
| 1568876506 | Nicole O'donnell | Registered Nurse | 305 S Highway 27, Cadott, WI 54727-9561 | 2014-06-18 |
| 1316365018 | Nicole O'donnell | Physical Therapist | 9500 Euclid Ave, Walker Center/c22, Cleveland, OH 44195-0001 | 2014-04-01 |
| 1922183862 | Nicole M O'donnell | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2006-10-26 |
| Street Address |
901 45TH STREET KIMMEL BUILDING |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518941251 | Maria B. Mata | Radiology | 901 45th Street, West Palm Beach, FL 33407 | 2005-12-06 |
| 1841816758 | Gabriela Ortega | Physical Therapist | 901 45th Street, Kimmel Building, West Palm Beach, FL 33407 | 2020-06-17 |
| 1952932626 | Deborah Lasko | Pediatrics | 901 45th Street, West Palm Beach, FL 33407 | 2020-01-30 |
| 1093367237 | April Elizabeth Mckinney | Nurse Anesthetist, Certified Registered | 901 45th Street, West Palm Beach, FL 33407-2413 | 2019-07-09 |
| 1215593389 | Calli Elizabeth Bradford | Nurse Anesthetist, Certified Registered | 901 45th Street, West Palm Beach, FL 33407 | 2019-05-14 |
| 1962859207 | Elena Vogel Cahill | Physical Therapist | 901 45th Street, Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2016-05-17 |
| 1942688825 | Nina L Thrasher | Physician Assistant | 901 45th Street, Kimmel Bldg, West Palm Beach, FL 33407 | 2015-05-12 |
| 1154550291 | Marisa Lynn Cook | Occupational Therapist | 901 45th Street, Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2009-07-10 |
| 1669653481 | Nelda Posada | Occupational Therapist | 901 45th Street, Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2007-11-20 |
| 1649283268 | Cindy Ross | Nurse Anesthetist, Certified Registered | 901 45th Street, West Palm Beach, FL 33407 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1659622934 | Erin Drinnen | Physician Assistant | 101 N Clematis St # 103, West Palm Beach, FL 33401 | 2012-09-26 |
| 1992050397 | First Surgical Assist LLC | Physician Assistant | 2580 Metrocentre Blvd Ste 1, West Palm Beach, FL 33407-3100 | 2012-07-23 |
| 1477786846 | Susan Trindale | Physician Assistant | 13130 85th Rd N, West Palm Beach, FL 33412-2615 | 2009-09-01 |
| 1700056801 | Victor Astudillo | Physician Assistant | 6420 64th Way, West Palm Beach, FL 33409-7148 | 2008-03-04 |
| 1497318935 | Katelyn Gauger | Physician Assistant | 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407 | 2019-04-19 |
| 1245419761 | Holly Elizabeth Huddleston | Physician Assistant | 1201 N Olive Ave, West Palm Beach, FL 33401-3515 | 2007-10-31 |
| 1831221282 | Susan Marie Collins | Physician Assistant | 7240 7th Pl N, West Palm Beach, FL 33411-3801 | 2007-03-12 |
| 1467589267 | Thelma Elaine Johnson | Physician Assistant | 2201 45th St, Columbia Hospital, West Palm Beach, FL 33407-2047 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 1972168052 | Carlee Freed | Physician Assistant | 2191 9th Ave N Ste 270, St Petersburg, FL 33713-7149 | 2019-05-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
Please comment or provide details below to improve the information on NICOLE MAYBERRY O'DONNELL.
| 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.