MS. MAYA GRACE NICHOLLS


Address: 405 D St, Suite 1, Petaluma, CA 94952-3006
Phone: 4153421345

MS. MAYA GRACE NICHOLLS (NPI# 1356601033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356601033
Entity Type Individual
Full Name MS. MAYA GRACE NICHOLLS
Credential CMT
Practice Address 405 D St
Suite 1
Petaluma
CA 94952-3006
Practice Telephone 4153421345
Mailing Telephone 4153421345
Enumeration Date 2012-05-29
Last Update Date 2012-05-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 405 D ST
SUITE 1
City PETALUMA
State CA
Zip Code 94952-3006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619977154 Molly Hogan Nurse Practitioner 405 D St, Suite #1, Petaluma, CA 94952-3006 2005-07-27
1891961082 Friedman Chiropractic Inc Chiropractor 405 D St, Suite 2, Petaluma, CA 94952-3006 2008-05-07
1912115221 Judith Kay Parker Chiropractor 405 D St, Suite 2, Petaluma, CA 94952-3006 2007-05-18
1699898684 Ian Robert Rawlinson Acupuncturist 405 D St, Suite 1, Petaluma, CA 94952-3006 2007-04-06
1952424947 Cynthia Cator Rawlinson Acupuncturist 405 D St, Suite 1, Petaluma, CA 94952-3006 2007-04-06
1558486787 Wendy Smith Massage Therapist 405 D St, Suite #3, Petaluma, CA 94952-2607 2007-03-20
1992889547 Sara Thyr Naturopath 405 D St, Suite1, Petaluma, CA 94952-3006 2006-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114587680 Benjamin R Idarius Behavior Technician 101 H St. Ste. L, Petaluma, CA 94952 2019-06-17
1518457159 Kyleen Joan Romero Behavioral Analyst 25 Graylawn Ave, Petaluma, CA 94952 2018-05-17
1437647526 John Scruggs Behavior Technician 301 H St. Suit L, Petaluma, CA 94952 2018-04-25
1811404684 Brief and Strategic Counseling Service Counselor 843 Chardonnay Cir., Petaluma, CA 94952 2018-01-03
1730638396 Jennifer Lee Sloan Acupuncturist 517 Hayes Lane, Petaluma, CA 94952 2016-09-23
1982057295 Elene Hwa-yihg Chung Acupuncturist 130 Graylawn Ave.,#f, Petaluma, CA 94952 2016-07-21
1457773624 Lisa Hirsch Cordeiro Marriage & Family Therapist 700 Sixth Street, Petaluma, CA 94952 2014-01-07
1811271075 Jacques Philippe Archer Massage Therapist 131b Kentucky St., Petaluma, CA 94952 2011-10-06
1477841609 Karna Licia Dawson Social Worker 205 Keller St., Petaluma, CA 94952 2011-07-21
1497051783 Melissa Beth Wilson Acupuncturist 155a Kentucky Street, Petaluma, CA 94952 2011-02-03
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780101568 Asp Providers Group of California, PC Specialist 1350 Barlas Ln, Petaluma, CA 94952-1280 2017-08-23
1285096008 Sean Hardcaslte Specialist 1120 Industrial Ave, Suite 13 & 14, Petaluma, CA 94952-6503 2016-03-22
1538559018 Summit Pain Alliance Inc Specialist 157 Lynch Creek Way, Petaluma, CA 94954-2342 2015-02-04
1497921258 Francesca Fasano Specialist 127 4th St, Petaluma, CA 94952-3005 2008-05-01
1649480039 Amanda C. Wongsonegoro Specialist 35 Petaluma Blvd N, Petaluma, CA 94952-3001 2007-05-23
1053359984 Roy S Musick Specialist 517 Lincoln Ln, Petaluma, CA 94954-3831 2006-06-03
1710980321 Lance B Barlas Specialist 167 Lynch Creek Way, Petaluma, CA 94954-2343 2005-05-27
1134777006 Elizabeth Pak Specialist 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 2019-09-03
1841765666 Alice Fitzwater Specialist 1670 Corporate Cir Ste 100, Petaluma, CA 94954 2018-10-08
1710338744 Kayla Sibbaluca Specialist 201 Fair St, Petaluma, CA 94952-2516 2016-06-30
Find all providers in PETALUMA

Competitor

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City PETALUMA
Zip Code 94952

Improve Information

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Dataset Information

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.

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