MRS. ANGELA M NICKENS (NPI# 1326401639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326401639 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA M NICKENS |
| Credential | FNP |
| Practice Address |
4025 Health Park Ln Saint Joseph MI 49085-3421 |
| Practice Telephone | 2694297100 |
| Practice Fax Number | 2694291959 |
| Mailing Telephone | 2694297100 |
| Mailing Fax Number | 2694291959 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704221750 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1326401639 | 05 | |
| MI | LICENSE | 4704221750 | 01 |
| Street Address |
4025 HEALTH PARK LN |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366071268 | Susan Lynn Hiestand | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2020-04-03 |
| 1104301993 | Charsie A Nealey | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2018-09-27 |
| 1639653058 | Emily Delmotte | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2018-09-21 |
| 1841737046 | Jeanette O'neill Postelli | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2017-01-25 |
| 1376096677 | Kristen Jones | Social Worker | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2016-08-03 |
| 1912366535 | Rebecca Jane Markus | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2016-02-11 |
| 1316364383 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2014-03-27 |
| 1508115965 | Tamara Nichole Gaishin | Physician Assistant | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2012-08-31 |
| 1316100803 | Allison Ayne Turner | Internal Medicine | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2008-07-07 |
| 1316009665 | Ramona Kay Hale | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399681 | Aryn Fidler | Nurse Practitioner | 2212 Shamrock Ln, Saint Joseph, MO 64505-1158 | 2020-09-08 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326578600 | Caitlin Copes | Nurse Practitioner | 402 Levee Rd, Saint Joseph, LA 71366-6661 | 2017-06-19 |
| 1013452325 | Teresa Lynn Mead-hahn | Nurse Practitioner | 2922 Angelique St, Saint Joseph, MO 64501-3437 | 2016-12-21 |
| 1922426519 | Julie Turner | Nurse Practitioner | 3502 N 7th St, Saint Joseph, MO 64505-2937 | 2014-04-01 |
| 1235552977 | Ronda Sue Damgar | Nurse Practitioner | 802 N Riverside Rd Ste 200, Saint Joseph, MO 64507-2553 | 2014-01-31 |
| 1629356142 | Image Specialties, L.L.C. | Nurse Practitioner | 5213 Frederick Ave, Saint Joseph, MO 64506-3263 | 2011-08-01 |
| 1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
| 1497051171 | Linda Louise Gerhardt | Nurse Practitioner | 5210 Belt Highway, Saint Joseph, MO 64506-1211 | 2011-01-28 |
| 1124343074 | Jayna J. Monical | Nurse Practitioner | 1510 Duncan St, Saint Joseph, MO 64503-2600 | 2010-04-05 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on MRS. ANGELA M NICKENS.
| 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.