MS. ROSEMARY B NICHOLS (NPI# 1336134410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336134410 |
| Entity Type | Individual |
| Full Name | MS. ROSEMARY B NICHOLS |
| Credential | MSN, PMH/CNS, LMFT |
| Practice Address |
12247 Ridgefair Pl Dallas TX 75234-7805 |
| Practice Telephone | 9722418697 |
| Practice Fax Number | 9722418697 |
| Mailing Telephone | 9722418697 |
| Mailing Fax Number | 9722418697 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2292 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 1628 | TX | Behavioral Health & Social Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
414379 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UNITEDBEHAVIORALHEALTH | 116176523 | 01 |
| TX | PRIVATEHEALTHCARESYSTEMS | 9218638 | 01 |
| TX | BLUECROSSBLUESHIELDBLUE | 0050245 | 01 |
| TX | MANAGEDHEALTHNETWORK | 226945 | 01 |
| TX | CIGNAHEALTHCARE | 752363246 | 01 |
| TX | CIGNABEHAVIORALHEALTH | 752363246 | 01 |
| TX | BLUECROSS/BLUESHIELD | 00000076B | 01 |
| TX | 062536001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447341052 | Rosemary Nichols | Social Worker | 9150 Crawford, Suite 202, Skokie, IL 60076 | 2006-09-27 |
| Street Address |
12247 RIDGEFAIR PL |
| City | DALLAS |
| State | TX |
| Zip Code | 75234-7805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1124597232 | Caleb Poe | Physical Therapist | 1775 Wittington Place, Ste. #175, Dallas, TX 75234 | 2018-11-19 |
| 1043790298 | Joseph M Satterfield | Physical Therapist | 1775 Wittington Place Ste. #175, Dallas, TX 75234 | 2018-08-17 |
| 1023507621 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2702 Valwood Pkwy, Farmers Branch, TX 75234 | 2018-05-09 |
| 1821593385 | Farmers Branch Primary Care LLC | Family Medicine | 13000 Josey Lane Ste 100, Farmers Branch, TX 75234 | 2018-03-27 |
| 1487159349 | Kavitha Prasad | Dentist | 3030 Lbj Freeway, Suite 1400, Dallas, TX 75234 | 2018-03-23 |
| 1841793734 | Dedicated Hospice Care LLC | Hospice Care, Community Based | 2665 Villa Creek Dr #201, Dallas, TX 75234 | 2018-03-16 |
| 1811499387 | Lumincare Physician Group, Pa | Family Medicine | 2914 Valley View Lane, Farmers Branch, TX 75234 | 2018-03-01 |
| 1972014223 | Judith Johnson | Home Health Aide | 2828 Forest Ln Ste 1143, Dallas, TX 75234 | 2017-10-13 |
| 1780101642 | Godly Hospice and Palliative Care LLC | Hospice Care, Community Based | 2735 Villa Creek Dr Ste A260, Farmers Branch, TX 75234 | 2017-08-23 |
| Find all providers in zip 75234 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851455851 | Janice M Imming-rogers | Clinical Nurse Specialist | 18170 Dallas Pkwy Ste 502, Dallas, TX 75287-7151 | 2006-12-21 |
| 1841577913 | Meredith Ann Holmes | Clinical Nurse Specialist | 9708 Skillman St, Dallas, TX 75243-5150 | 2011-11-03 |
| 1538492525 | Patricia L Giarrusso | Clinical Nurse Specialist | 7777 Forest Ln, C 833, Dallas, TX 75230-2505 | 2009-09-09 |
| 1518064096 | Colleen Rae Mcquaid | Clinical Nurse Specialist | 4500 South Lancaster Road, Dallas, TX 75216 | 2006-09-19 |
| 1770507154 | Freeda Lois Moore | Clinical Nurse Specialist | 2909 S Hampton Rd, Ste E 231, Dallas, TX 75224 | 2006-07-27 |
| 1518905157 | Marcia Marlene Monghate | Clinical Nurse Specialist | 8059 Scyene Cir, Dallas, TX 75227-5562 | 2006-06-04 |
| 1316943509 | Victoria Faust | Clinical Nurse Specialist | 5201 Harry Hines Blvd, Medical Staff Services, Dallas, TX 75235-7708 | 2005-06-22 |
| 1023014214 | Eugenia Hammett | Clinical Nurse Specialist | 7777 Forest Ln, Ste C833, Dallas, TX 75230-2591 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599204 | Angeline Ngwe Taboh | Clinical Nurse Specialist | 2944 Marco Dr, Grand Prairie, TX 75052-8724 | 2020-08-18 |
| 1578173738 | Hope Health Services, LLC | Clinical Nurse Specialist | 19902 Roycroft Ln, Richmond, TX 77407-4000 | 2020-08-03 |
| 1730554999 | C-trilogy Comprehensive Clinical Care | Clinical Nurse Specialist | 104 Rothrock Dr, Suite A, Longview, TX 75602-1528 | 2015-12-14 |
| 1710384631 | Mental Health Professionals of San Antonio | Clinical Nurse Specialist | 1703 N Loop 1604 W Apt 1203, San Antonio, TX 78258-4679 | 2014-11-20 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1801185301 | Horizon Senior Care Inc | Clinical Nurse Specialist | 229 Bradfield Ln, Rockwall, TX 75087-9272 | 2011-04-05 |
| 1518264696 | Abigail E Lopez | Clinical Nurse Specialist | 4225 Camelot Heights Dr., El Paso, TX 79912-2702 | 2011-02-25 |
| 1558506675 | Lynn Veronica Heselton | Clinical Nurse Specialist | 203 Lorine St, Keller, TX 76248-3434 | 2008-12-03 |
| 1851558266 | Alfredo Arellano | Clinical Nurse Specialist | 1122 Montana Ave Ste A, El Paso, TX 79902-5510 | 2008-05-22 |
| 1881870244 | Steffani L Powell | Clinical Nurse Specialist | 100 Bunny Run Ln, Horseshoe Bay, TX 78657-6188 | 2008-01-16 |
| Find all providers with the same taxonomy | ||||
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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.