NICOLE JENNINGS (NPI# 1174970024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174970024 |
| Entity Type | Individual |
| Full Name | NICOLE JENNINGS |
| Practice Address |
3420 Caldwell Ridge Pkwy Charlotte NC 28213-2124 |
| Practice Telephone | 9496360167 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700449964 | Nicole D Jennings | Prosthetist | 920 Saint Andrews Rd Ste 2&3, Columbia, SC 29210-5816 | 2019-04-15 |
| 1881179349 | Nicole Olivia Jennings | Counselor | 1225-1255 Whitehorse Mercerville Rd, Building B Suite 504, Hamilton, NJ 08619 | 2018-10-01 |
| 1548744253 | Nicole Jennings | Marriage & Family Therapist | 300 W Douglas Ave Ste 305, Wichita, KS 67202-2907 | 2018-09-18 |
| 1659658409 | Nicole Renee Jennings | Nurse's Aide | 356 Effington Ln, Columbus, OH 43207-5337 | 2011-11-08 |
| 1730290990 | Nicole Blackwell Jennings | Internal Medicine | 1308 Paluxy Rd Ste 300, Granbury, TX 76048-5689 | 2006-08-31 |
| 1801881891 | Nicole Michelle Jennings | Internal Medicine | 116 W Main St, Henderson, TN 38340-2231 | 2005-09-15 |
| Street Address |
3420 CALDWELL RIDGE PKWY |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| 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 |
|---|---|---|---|---|
| 1215544564 | Umuhire Ntabana | Student in an Organized Health Care Education/Training Program | 712 Woodruff Pl, Charlotte, NC 28208-4552 | 2020-09-29 |
| 1184236226 | Andrea Rose Corpus | Student in an Organized Health Care Education/Training Program | 7617 Grayling Ct, Charlotte, NC 28227-1200 | 2020-08-19 |
| 1548871445 | Deborah Hugh | Student in an Organized Health Care Education/Training Program | 4924 Dawnridge Dr, Charlotte, NC 28226-8088 | 2020-08-13 |
| 1922619337 | Connor Michael Gordley | Student in an Organized Health Care Education/Training Program | 824 Autumn Rain Ln, Charlotte, NC 28209-4794 | 2020-08-11 |
| 1396356796 | Kaitlin Anne Phelps | Student in an Organized Health Care Education/Training Program | 1315 Harding Pl Apt 342, Charlotte, NC 28204-3542 | 2020-08-11 |
| 1891306106 | Grace Horrall | Student in an Organized Health Care Education/Training Program | 2808 Griffith St Apt 3111, Charlotte, NC 28203-2406 | 2020-08-11 |
| 1124642756 | Umanah Healthcare Institute | Student in an Organized Health Care Education/Training Program | 5801 Executive Center Dr Ste 103, Charlotte, NC 28212-8870 | 2020-05-29 |
| 1407479108 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 12715 Mosby Ln, Charlotte, NC 28273-4841 | 2020-05-28 |
| 1043833916 | Rachel Marleen Grove | Student in an Organized Health Care Education/Training Program | 1908 Piedmont Hills Pl Apt 828, Charlotte, NC 28217-6716 | 2020-05-26 |
| 1669095733 | Zachary A Wood | Student in an Organized Health Care Education/Training Program | 1042 Newfound Hollow Dr, Charlotte, NC 28214-8823 | 2020-05-25 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on NICOLE JENNINGS.
| 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.