DR. SHARON ANN NICKELL-OLM (NPI# 1407076052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407076052 |
| Entity Type | Individual |
| Full Name | DR. SHARON ANN NICKELL-OLM |
| Credential | M.D. |
| Practice Address |
2000 Prevatt St Eustis FL 32726-6149 |
| Practice Telephone | 3523572600 |
| Practice Fax Number | 3523573400 |
| Mailing Telephone | 3523572600 |
| Mailing Fax Number | 3523573400 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
ME38621 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1980 Prevatt St, Ste A, Eustis, FL 327266178 | 3523572600 | 3523573400 |
| Street Address |
2000 PREVATT ST |
| City | EUSTIS |
| State | FL |
| Zip Code | 32726-6149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903592 | Debbie J Boyd | Nurse Practitioner | 2000 Prevatt St, Eustis, FL 32726-6149 | 2005-06-28 |
| 1114355708 | Sharon Nickell-olm M D Family Medical Center, LLC | Family Medicine | 2000 Prevatt St, Eustis, FL 32726-6149 | 2013-10-17 |
| 1427232487 | Marsha K. Rauch, Phd, Arnp | Nurse Practitioner | 2000 Prevatt St, Suite B3, Eustis, FL 32726-6149 | 2007-12-26 |
| 1619166568 | S.a.c. Primary Care LLC | Clinic/Center | 2000 Prevatt St, Suite B2, Eustis, FL 32726-6149 | 2007-10-17 |
| 1780801159 | Jennifer Sue Gravell Mendoza | Nurse Practitioner | 2000 Prevatt St, Suite B3, Eustis, FL 32726-6149 | 2007-04-19 |
| 1215953096 | Kelly Dawn Lill | Counselor | 2000 Prevatt St, Suite B, Eustis, FL 32726-6149 | 2006-07-14 |
| 1962436931 | Joseph Patrick Currid | Counselor | 2000 Prevatt St, Suite A, Eustis, FL 32726-6149 | 2006-07-10 |
| 1861434664 | Patricia A Kronk | Nurse Practitioner | 2000 Prevatt St, Suite B3, Eustis, FL 32726 | 2006-06-13 |
| 1982652285 | Preferred Healthcare Pa | Clinic/Center | 2000 Prevatt St, Suite B, Eustis, FL 32726-6149 | 2006-05-05 |
| 1164495396 | Marsha Kidder Rauch | Nurse Practitioner | 2000 Prevatt St, Suite B3, Eustis, FL 32726-6149 | 2006-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
| 1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
| 1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
| 1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
| 1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
| 1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
| 1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
| 1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
| 1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
| 1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
| Find all providers in zip 32726 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1851908701 | Heidi Ramazanzadeh Azari | Family Medicine | 555 John Anderson Dr, Ormond Beach, FL 32176-5480 | 2020-09-24 |
| 1902363443 | Alegis Care of Florida Pa | Family Medicine | 255 Primera Blvd Ste 264, Lake Mary, FL 32746-2148 | 2019-02-20 |
| 1710404363 | Center for Health and Wellness | Family Medicine | 3117 Spring Glen Rd Ste 407, Jacksonville, FL 32207-5906 | 2017-08-24 |
| 1891233219 | Suz M.d. LLC | Family Medicine | 11946 Skylake Pl, Unit D, Temple Terrace, FL 33617-1623 | 2017-02-06 |
| 1992116537 | Horizon Palliative Care Partners LLC | Family Medicine | 901 34th Ave N, Ste 7597, St Petersburg, FL 33734-8064 | 2014-05-16 |
| 1427341296 | Mariana Khawand-azoulai | Family Medicine | 1400 Nw 12th Ave Fl 11, Miami, FL 33136-1003 | 2011-05-26 |
| 1679889968 | Premier Family and Palliative Medical Center Inc | Family Medicine | 1 W Sample Rd # 3104, Pompano Beach, FL 33064-3547 | 2010-08-24 |
| 1568782464 | University Primary Care LLC | Family Medicine | 7495 North University Dr, Tamarac, FL 33321 | 2010-06-03 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| 1932317294 | Lawrence E Bennett | Family Medicine | 8886 Windtree St, Boca Raton, FL 33496-5090 | 2007-05-19 |
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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.