SHELLEY NICHOLS (NPI# 1306489968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306489968 |
| Entity Type | Individual |
| Full Name | SHELLEY NICHOLS |
| Practice Address |
715 Pyle Dr Kingsford MI 49802-4456 |
| Practice Telephone | 9067740522 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704357180 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083635148 | Shelley Nichols | Physical Therapist | 745 N Main St, Laconia, NH 03246-2715 | 2006-07-22 |
| 1063835346 | Shelley Blancett Nichols | Counselor | 1030 Andrews Hwy, Ste 105-h, Midland, TX 79701 | 2014-01-22 |
| Street Address |
715 PYLE DR |
| City | KINGSFORD |
| State | MI |
| Zip Code | 49802-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164464665 | Diane E Roell | Nurse Practitioner | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2006-06-11 |
| 1528698925 | Lisa Buchko | Social Worker | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2020-01-24 |
| 1609406032 | Denise Nicolls | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2020-01-24 |
| 1548890668 | Angela Nicole Thiel | Behavioral Analyst | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2020-01-16 |
| 1386287019 | Laura Bryant | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1982247615 | Suzanne Tusa | Social Worker | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1710520457 | Mary Grable | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1386287092 | Amy Everett | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1760038780 | Diedra Hinds-springstroh | Nurse Practitioner | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-08-15 |
| 1164078101 | Cassandra Leslie | Social Worker | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154711398 | Matthew Giordanelli | Physical Therapist | 808 Terrace Ave, Kingsford, MI 49802 | 2015-01-26 |
| 1205186632 | Integrated First Response-great Lakes | Ambulance | 2260 Woodward Ave, Kingsford, MI 49802 | 2012-09-13 |
| 1104006469 | Home Healthcare Professionals | Home Health | 733 Cass Ave, Kingsford, MI 49802 | 2007-11-05 |
| 1619072279 | Robert Joseph D Amour | Dentist | 1075 Woodward Ave, Suite A, Kingsford, MI 49802 | 2006-09-14 |
| 1689603839 | Linda M Opsahl | Nurse Practitioner | 800 East Blvd, Kingsford, MI 49802 | 2006-07-01 |
| 1730125436 | James A Hicks | Chiropractor | 815 Pyle Drive, Family Chiropractic Clinic PC, Kingsford, MI 49802 | 2006-06-21 |
| 1063557270 | Biancos Physical Therapy & Wellness Center | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1235274432 | Danny J Bianco | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1639214844 | Jodi Wadge | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1780678318 | Patti Lynn Peterson | Psychiatry & Neurology | 1205 Pyle Dr, Kingsford, MI 49802-1132 | 2005-09-09 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609406032 | Denise Nicolls | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2020-01-24 |
| 1386287019 | Laura Bryant | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1710520457 | Mary Grable | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1386287092 | Amy Everett | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-10-25 |
| 1154989051 | Amy Venstra | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-06-05 |
| 1306400460 | Jennifer Ahola | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2019-04-24 |
| 1215402920 | Jennifer Anderson | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2018-10-09 |
| 1245738673 | Melissa Schafer | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2018-01-31 |
| 1891218038 | Catherine Olson | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802 | 2017-07-19 |
| 1194264879 | Patrycja Wentland | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802-4456 | 2017-02-15 |
| Find all providers in KINGSFORD | ||||
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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.