NICOLE S CLEAVES (NPI# 1154599686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599686 |
| Entity Type | Individual |
| Full Name | NICOLE S CLEAVES |
| Credential | RNFA |
| Practice Address |
2170 South Ave South Lake Tahoe CA 96150-7026 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305435979 |
| Practice Fax Number | 5305418723 |
| Mailing Telephone | 5305435979 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2010-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 512300 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 57655 | NV | Nursing Service Providers |
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
512300 | CA | Nursing Service Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
57655 | NV | Nursing Service Providers |
| Street Address |
2170 SOUTH AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690485 | Marissa Rose Muscat | Family Medicine | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2005-06-28 |
| 1487201091 | Holly Anne Burnam | Registered Nurse | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2019-08-20 |
| 1447725916 | Leeann Mills | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-10-10 |
| 1639653322 | Jessica Tina Cone | Occupational Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2018-09-19 |
| 1972093391 | Jordan Corinne Myers | Technician | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2018-05-10 |
| 1780185892 | Harrison Thomas Calhoun Brown | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-02-23 |
| 1578064788 | Morgan Humble | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-02-22 |
| 1326576893 | Heather Applegate | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2017-05-30 |
| 1306372214 | Julie Fernandez | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2017-05-11 |
| 1316480981 | Jordan Lewis Bugarske | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2016-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043477011 | Nancy Hedquist | Registered Nurse | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760006514 | Rudhel Agtang Baniaga | Registered Nurse | 401 E Wren Ave, Visalia, CA 93291-2103 | 2020-06-07 |
| 1306492541 | Sinath Prom | Registered Nurse | 1642 Trieste Ct, San Jose, CA 95122-3833 | 2019-08-14 |
| 1467014142 | Amber Michelle Packer | Registered Nurse | 22 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7999 | 2019-07-02 |
| 1861056194 | Dean A Hopkins Cnor Rnfa | Registered Nurse | 1643 Palatia Dr, Roseville, CA 95661-7751 | 2019-04-22 |
| 1841758075 | Christine Andres Jose | Registered Nurse | 5341 Aspen St, Dublin, CA 94568-7676 | 2019-03-06 |
| 1215406996 | Alfredo Pastor | Registered Nurse | 9510 Lake Superior Dr, Bakersfield, CA 93312-6246 | 2018-11-25 |
| 1457839953 | Gabriel Valdez Perez | Registered Nurse | 38 Terrace Dr, Concord, CA 94518-2045 | 2018-08-06 |
| 1639660483 | Shelly Lynn Hill | Registered Nurse | 7050 N Recreation Ave Ste 103, Fresno, CA 93720-8001 | 2018-05-27 |
| 1518455765 | Harjet Kaur | Registered Nurse | 12064 Roswell Ave, Chino, CA 91710-1550 | 2018-04-24 |
| 1972091270 | Staci Ann Mckee | Registered Nurse | 1559 Beacon Ridge Way, Corona, CA 92883-0726 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on NICOLE S CLEAVES.
| 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.