NICOLE E STASKO (NPI# 1396397691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396397691 |
| Entity Type | Individual |
| Full Name | NICOLE E STASKO |
| Credential | DNP, FNP-BC |
| Practice Address |
1938 Charlie Hall Blvd Unit B Charleston SC 29414-6099 |
| Practice Telephone | 8434020227 |
| Practice Fax Number | 8434020232 |
| Mailing Telephone | 8434020227 |
| Mailing Fax Number | 8434020232 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23056 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 Old Trolley Rd Ste 101, Summerville, SC 294855292 | 8434020227 | 8434020232 |
| Street Address |
1938 CHARLIE HALL BLVD UNIT B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520068 | Jeffery L Deal | Clinic/Center | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2005-07-07 |
| 1376106989 | Megan Scarlet Quinn | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414 | 2019-04-18 |
| 1164977195 | Julie Renee Scott | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2016-08-19 |
| 1295119865 | Cameron J Selent | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2015-07-14 |
| 1902292261 | Lorin Diamond Stein | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2015-04-13 |
| 1558787275 | Emily N Mayer | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2014-03-06 |
| 1598866592 | Joseph F John Jr. | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2006-09-25 |
| 1194778548 | Lowcountry Infectious Diseases Pa | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2006-05-18 |
| 1083619654 | Julia S Haile | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
| 1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
| 1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
| 1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on NICOLE E STASKO.
| 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.