NIKOLE STEPHENS (NPI# 1134583404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134583404 |
| Entity Type | Individual |
| Full Name | NIKOLE STEPHENS |
| Practice Address |
3100 17th St Saint Cloud FL 34769-6021 |
| Practice Telephone | 4078920009 |
| Practice Fax Number | 4078923285 |
| Mailing Telephone | 4078920009 |
| Mailing Fax Number | 4078923285 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3100 17TH ST |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417913591 | Christopher Baur | Family Medicine | 3100 17th St, Saint Cloud, FL 34769-6021 | 2006-04-26 |
| 1992263164 | Total Vitality Medical of Florida, LLC | Clinic/Center | 3100 17th St, Saint Cloud, FL 34769-6021 | 2019-03-06 |
| 1083138622 | Bethany Mcqueen | Nurse Practitioner | 3100 17th St, Saint Cloud, FL 34769-6021 | 2017-07-26 |
| 1558798090 | Ila Anita Morin | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2013-09-30 |
| 1063765774 | Sierra A Hobbs | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2012-10-18 |
| 1427308055 | Pro Health Mso, LLC | Health Maintenance Organization | 3100 17th St, Saint Cloud, FL 34769-6021 | 2012-09-11 |
| 1386891760 | Belinda Bernard Johnson | Family Medicine | 3100 17th St, Saint Cloud, FL 34769-6021 | 2008-08-27 |
| 1689843054 | Kelley Grayson Brenner | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2008-02-29 |
| 1831220052 | Karl Schweinberg | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2007-03-08 |
| 1073600656 | Kimberly Rae Stein | Family Medicine | 3100 17th St, Saint Cloud, FL 34769-6021 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019960 | Joshua Gangl | Student in an Organized Health Care Education/Training Program | 726 25th Ave N, Saint Cloud, MN 56303-3260 | 2020-07-06 |
| 1780210617 | Maryam Sadough Shahmirzadi | Student in an Organized Health Care Education/Training Program | 4340 Clearwater Rd Apt 116, Saint Cloud, MN 56301-9642 | 2020-03-23 |
| 1669005195 | Raven Forester | Student in an Organized Health Care Education/Training Program | 2404 Deer Creek Blvd, Saint Cloud, FL 34772-8206 | 2020-02-12 |
| 1699338228 | Erik Bartho | Student in an Organized Health Care Education/Training Program | 575 7th St S Apt 302, Saint Cloud, MN 56301-4345 | 2019-04-18 |
| 1881119022 | Leslie Joyce Gonzalez | Student in an Organized Health Care Education/Training Program | 2540 King Oak Cir, Saint Cloud, FL 34769-6643 | 2017-08-09 |
| 1114466588 | Jared Richard Sherman | Student in an Organized Health Care Education/Training Program | 1200 E Division St Apt 307, Apt 307, Saint Cloud, MN 56304-0933 | 2017-02-18 |
| 1679928956 | Mikala Rae Gaffke | Student in an Organized Health Care Education/Training Program | 1038 Manor Ct, Saint Cloud, MN 56303-4810 | 2016-04-25 |
| 1326450412 | Sara F Poginy | Student in an Organized Health Care Education/Training Program | 2006 11th Ave S, Saint Cloud, MN 56301-5643 | 2014-05-23 |
| 1295980183 | Cotto's Medical | Student in an Organized Health Care Education/Training Program | 405 Brown Chapel Rd, Saint Cloud, FL 34769-1935 | 2008-11-19 |
| 1043832132 | Sadio Ahmed Mohamed | Student in an Organized Health Care Education/Training Program | 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 | 2020-05-12 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on NIKOLE STEPHENS.
| 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.