NICOLE PEDERSON (NPI# 1245735364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245735364 |
| Entity Type | Individual |
| Full Name | NICOLE PEDERSON |
| Practice Address |
5885 Barnes Rd Colorado Springs CO 80922-3512 |
| Mailing Address |
4512 Continental Hts Apt 305 Colorado Springs CO 80924-1242 |
| Practice Telephone | 7195913009 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2020-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 66889 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0023235 | CO | Pharmacy Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2409 University Ave, Austin, TX 787121112 | 5124711737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275049900 | Nicole Pederson | Counselor | 215 Lakewood Way Sw # 205, Atlanta, GA 30315-6022 | 2017-12-18 |
| 1538530274 | Nicole Pederson | Behavioral Analyst | 1147 Leigh Ave, Apt 3, San Jose, CA 95126-4533 | 2015-10-07 |
| 1316485071 | Nicole L Pederson | Genetic Counselor, MS | 400 E Third Street, Duluth, MN 55805-1951 | 2017-02-02 |
| 1487999702 | Nicole Kathryn Pederson | Physical Therapist | 433 Soscol Avenue, Suite B 191, Napa, CA 94559-4040 | 2012-11-28 |
| 1659498475 | Nicole L. Pederson | Physical Therapist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2007-03-25 |
| Street Address |
5885 BARNES RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80922-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
| 1164920054 | Elaine Thannum | Pharmacist | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2018-01-25 |
| 1407240823 | Costco Wholesale Corporation | Hearing Aid Equipment | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2015-03-24 |
| 1366832339 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2015-01-29 |
| 1194091116 | Michael Scharringhausen | Pharmacist | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2012-03-23 |
| 1366712549 | Lehmann Vision, LLC | Optometrist | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2012-01-05 |
| 1245487487 | Eye Care of Colorado, P.C. | Optometrist | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1528566965 | Caitlin Corbeit Kroetsch | Massage Therapist | 5349 Ferraro Drive, Colorado Springs, CO 80922 | 2018-01-31 |
| 1154861169 | Miriam Freire | Dental Hygienist | 3759 Swainson Dr., Colorado Springs, CO 80922 | 2017-02-24 |
| 1528507712 | Brandon Hutchinson | Social Worker | 6972 Hillock Fr, Colorado Springs, CO 80922 | 2017-02-21 |
| 1841648052 | Delene Suzuki Babauta | Dental Assistant | 7279 Withers Pl, Colorado Springs, CO 80922 | 2016-05-27 |
| 1225442601 | Betsy Titus | Physical Therapy Assistant | 6355 Silverado Trl, Colorado Springs, CO 80922 | 2014-06-13 |
| 1255754214 | Lynor Dicang Hardy | Military Health Care Provider | Cheyenne Mountain Air Station, Colorado Springs, CO 80922 | 2014-01-28 |
| 1861774184 | North Powers Modern Dentistry, LLP | Dentist | 5430 Tutt Boulevard, Colorado Springs, CO 80922 | 2011-09-13 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| Find all providers in zip 80922 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155925 | James Foster | Pharmacist | 4440 Wordsworth Cir N, Colorado Springs, CO 80916-3126 | 2019-10-11 |
| 1811542525 | Melinda Reed | Pharmacist | 5880 Ellingsworth Pl, Colorado Springs, CO 80924-2104 | 2019-08-08 |
| 1689233389 | Jenna Johnston | Pharmacist | 15 N Union Blvd Ste 120, Colorado Springs, CO 80909-5754 | 2019-06-07 |
| 1881189173 | Michael Stewart | Pharmacist | 1901 Fieldcrest Dr, Colorado Springs, CO 80921-4012 | 2018-06-28 |
| 1447779897 | Luke Matthew Delzer | Pharmacist | 4105 Briargate Pkwy # 125, Colorado Springs, CO 80920-3480 | 2017-09-18 |
| 1689101982 | Lindsey Person | Pharmacist | 3725 West Colorado Avenue, Colorado Springs, CO 80904-3040 | 2017-05-17 |
| 1134655038 | Sara Ann Kotschwar | Pharmacist | 10150 Clear Creek Rd, Colorado Springs, CO 80920-1439 | 2017-05-11 |
| 1124553128 | Amanda Williams | Pharmacist | 2440 Lyncrest Dr, Colorado Springs, CO 80918-1587 | 2017-04-27 |
| 1407398886 | Donald L Johnson | Pharmacist | 7332 Walker Dr, Colorado Springs, CO 80920-3315 | 2016-11-16 |
| 1467901850 | Darcy Lewis | Pharmacist | 1550 Little Bear Creek Pt, Unit 201, Colorado Springs, CO 80904-6803 | 2016-09-26 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80922 |
Please comment or provide details below to improve the information on NICOLE PEDERSON.
| 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.