NICOLE STALOCH (NPI# 1134524242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134524242 |
| Entity Type | Individual |
| Full Name | NICOLE STALOCH |
| Credential | NP |
| Practice Address |
559 Capitol Blvd Saint Paul MN 55103-2101 |
| Practice Telephone | 6515007737 |
| Mailing Telephone | 6515007737 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R165333-3 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
559 CAPITOL BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987245 | Karen E. Miller | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-03-24 |
| 1659911089 | Mitchell Allen Peterson | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2020-01-14 |
| 1134689193 | Jeremy Tvrdik | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-24 |
| 1932666518 | Eliesa Woggon | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-01 |
| 1558828228 | Tina Denise Stone | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-28 |
| 1053877514 | Jennifer Joy Rovn | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1154887685 | Danetta Lavell | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1437659190 | Riley Odom | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2018-02-19 |
| 1215476437 | Kayla Appleby | Social Worker | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2017-02-21 |
| 1659821452 | Jenna Jenkins | Speech-Language Pathologist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535426 | Chesley Stanley | Nurse Practitioner | 3113 Fletcher Dr, Saint Paul, VA 24283-3763 | 2020-07-13 |
| 1568002160 | Amazing Grace Health | Nurse Practitioner | 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 | 2020-01-10 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1710403118 | Liv-on Family Care Center, Pa | Nurse Practitioner | 1210 County Road J Ste 102, Saint Paul, MN 55127-6826 | 2017-08-17 |
| 1225588668 | Katie-anne Swenson | Nurse Practitioner | 2550 University Ave W Ste 325s, Saint Paul, MN 55114-1903 | 2016-10-10 |
| 1619329133 | Lamin Jaiteh | Nurse Practitioner | 2550 University Ave W Ste 325-s, Saint Paul, MN 55114-1052 | 2016-07-08 |
| 1457746281 | Florence Fon | Nurse Practitioner | 5 County Road B E Ste 3, Saint Paul, MN 55117-1945 | 2015-03-30 |
| 1639576994 | Angela Denise Lentz | Nurse Practitioner | 178 9th St E Ste 300, Saint Paul, MN 55101-2577 | 2014-12-01 |
| 1548506405 | Mandi Sue Counters | Nurse Practitioner | 14635 Pennock Ave Ste 200, Saint Paul, MN 55124-6587 | 2012-12-21 |
| 1528315470 | Amanda Jeanne Carroll | Nurse Practitioner | 1358 Kent St, Saint Paul, MN 55117-4226 | 2012-08-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55103 |
Please comment or provide details below to improve the information on NICOLE STALOCH.
| 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.