MATTHEW NICKLE (NPI# 1306891965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306891965 |
Entity Type | Individual |
Full Name | MATTHEW NICKLE |
Credential | P.T. |
Practice Address |
812 Robin Hood Ct Springdale AR 72764-6822 |
Practice Telephone | 4798717337 |
Mailing Telephone | 4798717337 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Y00000X | Spec/Tech, Health Info | RPT2439 | AR | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BLUE CROSS/BLUE SHIELD | SW291 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942656426 | Matthew Nickle | Marriage & Family Therapist | 1891 N Gaffey St, 230, San Pedro, CA 90731-1267 | 2016-05-13 |
Street Address |
812 ROBIN HOOD CT |
City | SPRINGDALE |
State | AR |
Zip Code | 72764-6822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
Find all providers in zip 72764 |
Taxonomy Code | 246Y00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Health Info |
An individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services coding. |
Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023281425 | Barry Hudspeth | Spec/Tech, Health Info | 301 N Shackleford Rd Ste G3, Little Rock, AR 72211-2887 | 2008-04-07 |
1093157125 | Stephanie Anne Dunivan | Spec/Tech, Health Info | 1910 Rector Rd, Paragould, AR 72450-2004 | 2013-07-17 |
1508189408 | Becky Davis | Spec/Tech, Health Info | 1910 Rector Rd, Paragould, AR 72450-2004 | 2010-03-05 |
1255653804 | Judy Mae Willbanks | Spec/Tech, Health Info | 1910 Rector Rd, Paragould, AR 72450-2004 | 2010-02-24 |
1376865915 | Amanda Sowards | Spec/Tech, Health Info | 1910 Rector Rd, Paragould, AR 72450-2004 | 2010-02-24 |
1760711865 | Ashlee Ross | Spec/Tech, Health Info | 1910 Rector Rd, Paragould, AR 72450-2004 | 2009-12-18 |
1477788925 | Laura Spurlock | Spec/Tech, Health Info | 1910 Rector Rd, Paragould, AR 72450-2004 | 2009-05-27 |
City | SPRINGDALE |
Zip Code | 72764 |
Please comment or provide details below to improve the information on MATTHEW NICKLE.
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.