NICOLE A DEITRICK (NPI# 1184638447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184638447 |
| Entity Type | Individual |
| Full Name | NICOLE A DEITRICK |
| Credential | LMT |
| Practice Address |
909 25th Dr E Ellenton FL 34222-2053 |
| Practice Telephone | 9417214559 |
| Practice Fax Number | 9417210142 |
| Mailing Telephone | 9417214559 |
| Mailing Fax Number | 9417210142 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA29664 | FL | Other Service Providers |
| Street Address |
909 25TH DR E |
| City | ELLENTON |
| State | FL |
| Zip Code | 34222-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774585 | Pepharon Ciceron | Occupational Therapy Assistant | 5535 69th Pl E, Ellenton, FL 34222 | 2017-04-14 |
| 1104289131 | Marie Yvrose Saint-louis | Nurse's Aide | 5302 65 Terrace East, Ellenton, FL 34222 | 2016-03-29 |
| 1861608846 | Susan M Schoonmaker | Chiropractor | 7032 Us Hwy 301 North, Simple Relief Wellness Center, Ellenton, FL 34222 | 2007-05-15 |
| 1558374777 | Delynne Marie Murphy | Internal Medicine | 433 N. Us Hwy 301, Ellenton, FL 34222 | 2006-08-15 |
| 1942220124 | Ruben B. Hernandez | Internal Medicine | 4333 N. Hwy 301, Ellenton, FL 34222 | 2006-07-20 |
| 1073050688 | Jessica Laurent | Nurse Practitioner | 7915 Us Highway 301 N Ste 103, Ellenton, FL 34222 | 2017-01-21 |
| 1366873911 | Institute of Computerized Dentistry, Inc. | Dentist | 3030 Us Highway 301 N, Ellenton, FL 34222 | 2013-12-09 |
| 1932217205 | The Eye Associates of Manatee, LLP | Ophthalmology | 7915 Us Highway 301 N, Suite 101, Ellenton, FL 34222 | 2006-08-28 |
| 1952493264 | Vijayalakshmi Dhaduvai | Internal Medicine | 2901 Us Highway 301 N, Ellenton, FL 34222-2007 | 2006-09-28 |
| 1053345306 | Ashok Kumar Kumar Dhaduvai | Internal Medicine | 2901 Us Highway 301, Ellenton, FL 34222-2007 | 2006-07-11 |
| Find all providers in zip 34222 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881052629 | A Healing Experience LLC | Specialist | 5911 Willows Bridge Loop, Ellenton, FL 34222-5218 | 2016-02-08 |
| 1659748879 | Rhonda L. Smith | Specialist | 6218 Us Highway 301 N, Ellenton, FL 34222-3065 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758893 | Ursula Olazabal | Specialist | 402 N Babcock St Ste 101, Melbourne, FL 32935-7335 | 2020-10-18 |
| 1043818529 | Michele Rosenthal | Specialist | 425 Greenwich Circle, #107, Jupiter, FL 33458-4809 | 2020-10-15 |
| 1184230096 | Lauren Daisey Woodruff | Specialist | 4440 Nelson Ave, Sarasota, FL 34231-7515 | 2020-09-17 |
| 1699385823 | Suzanne Denise Moe | Specialist | 48 Nw 4th St, Homestead, FL 33030-5942 | 2020-08-03 |
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1417566712 | Angela Berry Williams | Specialist | 5175 W Atlantic Ave Ste C, Delray Beach, FL 33484-8101 | 2020-07-23 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
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| 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.