NICOLE M CLEMENTS (NPI# 1275738403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275738403 |
| Entity Type | Individual |
| Full Name | NICOLE M CLEMENTS |
| Credential | PAC |
| Practice Address |
1355 Rogers Drive Rogers MN 55374 |
| Mailing Address |
2000 Plymouth Rd Ste 250 Minnetonka MN 55305-2376 |
| Practice Telephone | 9525939818 |
| Practice Fax Number | 9525935187 |
| Mailing Telephone | 9527672326 |
| Mailing Fax Number | 9525935187 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10081 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033311022 | Nicole Danielle Clements | Speech-Language Pathologist | 2603 Warm Hearth Dr, Blacksburg, VA 24060-6287 | 2007-06-03 |
| 1861031031 | Nicole Marie Clements | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2020-01-05 |
| 1720590284 | Nicole Whitman Clements | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121 | 2017-10-24 |
| 1073989489 | Nicole Clements | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2015-08-19 |
| Street Address |
1355 ROGERS DRIVE |
| City | ROGERS |
| State | MN |
| Zip Code | 55374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| 1710058128 | Jeffrey Alan Smith | Dentist | 21410 136th Ave North Suite #109, Rogers, MN 55374 | 2006-11-10 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707151 | Brianna Young | Physician Assistant | 903 N Raven Rd, Rogers, AR 72756-1941 | 2020-03-30 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1104209915 | Kindle Diane Simon | Physician Assistant | 1000 S. 52nd St, Rogers, AR 72758-8610 | 2015-06-30 |
| 1699154567 | Jessica Weller | Physician Assistant | 2708 S Rife Medical Ln Ste 210, Rogers, AR 72758-1456 | 2015-05-26 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1740234426 | Lynn M Youngner | Physician Assistant | 13688 Rogers Dr, Rogers, MN 55374-4916 | 2006-05-19 |
| 1205434719 | Aaron Bradley Mullen | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1053919563 | Alexis Mikayla Jones | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1962000471 | Anthony Kyle Maddox | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1093228520 | Alexa Blaire Grand | Physician Assistant | 500 S 52nd St, Rogers, AR 72758-8600 | 2017-11-06 |
| Find all providers in ROGERS | ||||
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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.