NICOLE MARIE ANDERSON (NPI# 1356901821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356901821 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE ANDERSON |
| Other Name | NICOLE MARIE MARTINEZ |
| Credential | AGPCNP-BC |
| Practice Address |
2057 Compton Ave Ste 102 Corona CA 92881-7295 |
| Mailing Address |
3660 Park Sierra Dr Ste 203 Riverside CA 92505-3071 |
| Practice Telephone | 9517366757 |
| Practice Fax Number | 9517360167 |
| Mailing Telephone | 9516873400 |
| Mailing Fax Number | 9516877630 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95014738 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APN.0994709-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1914 Lelaray St, Colorado Springs, CO 809092800 | 7196327641 | 7196322925 |
| 425 Diamond Dr Ste 102, Lake Elsinore, CA 925304495 | 9516877140 | 9513033565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1558865923 | Nicole Anderson | Dental Hygienist | 144 Genesee St Ste 303, Auburn, NY 13021-3526 | 2018-03-21 |
| 1699275149 | Nicole S Anderson | Counselor | 6919 E 10th St Ste C, Indianapolis, IN 46219-4893 | 2018-02-20 |
| 1518479880 | Nicole Anderson | Registered Nurse | 5514 Aeriel Pl, Frederick, MD 21703-6555 | 2017-10-26 |
| 1578099214 | Nicole A Anderson | Physical Therapist | 260 Newport Center Dr Ste 502, Newport Beach, CA 92660-7520 | 2017-05-01 |
| 1093248528 | Nicole Anderson | Speech-Language Pathologist | 9907 Ne 124th St, Apt. 816, Kirkland, WA 98034-3752 | 2017-04-11 |
| 1275074148 | Nicole Anderson | Occupational Therapist | 2176 State Route 32, Modena, NY 12548-5211 | 2017-03-13 |
| 1063805869 | Nicole Anderson | Behavioral Analyst | 2105 E Park St, Cedar Park, TX 78613-4598 | 2015-03-18 |
| 1912305954 | Nicole Nichelle Anderson | Counselor | 3820 Kenzie Ct, Balch Springs, TX 75180-5011 | 2014-12-08 |
| Street Address |
2057 COMPTON AVE STE 102 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-7295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365622 | Christopher Stephen Hollinghurst IIi | Nurse Practitioner | 2057 Compton Ave Ste 102, Corona, CA 92881-7295 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071282 | Geanie Danielle Galindo | Nurse Practitioner | 25687 Red Hawk Rd, Corona, CA 92883-3160 | 2020-04-12 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1306365622 | Christopher Stephen Hollinghurst IIi | Nurse Practitioner | 2057 Compton Ave Ste 102, Corona, CA 92881-7295 | 2017-09-19 |
| 1639615776 | Elena Zlochevsky | Nurse Practitioner | 160 W Foothill Pkwy Ste 105-189, Corona, CA 92882-8545 | 2017-01-12 |
| 1649606914 | Suguna Jaikumar | Nurse Practitioner | 2079 Compton Ave Ste 102, Corona, CA 92881-7292 | 2013-09-18 |
| 1184277394 | Courtney Snyder | Nurse Practitioner | 800 S Main St, Corona, CA 92882-3420 | 2019-07-17 |
| 1427529213 | Christie Soojung Hong | Nurse Practitioner | 1113 S Main St Ste A, Corona, CA 92882-4455 | 2018-12-06 |
| 1891212585 | Yu Cao | Nurse Practitioner | 2083 Compton Ave Ste 103, Corona, CA 92881-7288 | 2017-08-24 |
| 1588111587 | Stephen Orlando Leon | Nurse Practitioner | 1150 El Camino Ave, Suite 108, Corona, CA 92879-1784 | 2016-09-07 |
| 1346617594 | Patience Ronke Akhimien | Nurse Practitioner | 6515 Red Oak Dr, Corona, CA 92880-8651 | 2015-08-24 |
| Find all providers in CORONA | ||||
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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.