NICHOLE E. TOLLE (NPI# 1366968562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366968562 |
| Entity Type | Individual |
| Full Name | NICHOLE E. TOLLE |
| Credential | CST |
| Practice Address |
3750 Landmark Dr Ste B Lafayette IN 47905-6652 |
| Mailing Address |
8333 Naab Rd Ste 250 Indianapolis IN 46260-1983 |
| Practice Telephone | 7654487981 |
| Practice Fax Number | 7654474172 |
| Mailing Telephone | 3173961300 |
| Mailing Fax Number | 3173961346 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3750 LANDMARK DR STE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730106410 | Erick Stephanian | Neurological Surgery | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2006-07-17 |
| 1881205755 | Nicole Srutowski | Nurse Practitioner | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2020-08-13 |
| 1891330726 | Sarah Roth | Nurse Practitioner | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2019-11-14 |
| 1548451040 | William Brian Kuhn | Neurological Surgery | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516406 | Victoria Claire Robinson | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-03 |
| 1720569569 | Dastgeer Surgical Associates | Specialist/Technologist, Other | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2018-08-28 |
| 1740641190 | Shelly Blocher | Specialist/Technologist, Other | 1345 Unity Pl, Ste 210, Lafayette, IN 47905-5760 | 2016-03-14 |
| 1063871770 | Kimberly Gangwer | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2016-02-23 |
| 1720447923 | Ginger Duplantis | Specialist/Technologist, Other | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2016-02-16 |
| 1902074552 | Anne Hunter | Specialist/Technologist, Other | 2600 Ferry St, Indianapolis Neurosurgical Group, Lafayette, IN 47904-3055 | 2008-02-18 |
| 1306014949 | Kimberly L Fleischhauer | Specialist/Technologist, Other | 2600 Ferry St, Lafayette, IN 47904-3055 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750056 | Brazzale Surgical Assisting LLC | Specialist/Technologist, Other | 1911 Huppenthal Dr, Schererville, IN 46375-3008 | 2019-09-20 |
| 1043868839 | Danielle Rekitzke | Specialist/Technologist, Other | 745 Hiawatha Ct, Lowell, IN 46356-1631 | 2019-08-27 |
| 1104392208 | Hassan Hanna | Specialist/Technologist, Other | 375 Kingsmill Dr, Chesterton, IN 46304-2266 | 2018-10-17 |
| 1568992055 | Ariel Patricia Brazzale | Specialist/Technologist, Other | 4936 Pheasant Ct, Schererville, IN 46375-3384 | 2017-06-15 |
| 1295275337 | Kristin Curtis | Specialist/Technologist, Other | 103 Taylors Way, North Liberty, IN 46554-9223 | 2017-03-07 |
| 1821536574 | Craig Cole | Specialist/Technologist, Other | 901 Somerset Ct, Sellersburg, IN 47172-2811 | 2017-02-02 |
| 1275075137 | Dusko Mirjanic | Specialist/Technologist, Other | 133 Holly Ln, Schererville, IN 46375-1177 | 2016-11-09 |
| 1447709118 | Christina L. Hope | Specialist/Technologist, Other | 8141 S Emerson Ave Suite A, Indianapolis, IN 46237-8560 | 2016-09-23 |
| 1811376494 | Jeremy Ingram | Specialist/Technologist, Other | 1806 Bono Rd Apt 16, New Albany, IN 47150-4680 | 2015-05-28 |
| 1861800195 | Audie Williams | Specialist/Technologist, Other | 438 W Clearwater Dr, Warsaw, IN 46582-7769 | 2014-07-30 |
| 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.