MRS. NICOLE CHRISTINE LAKE (NPI# 1407291628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407291628 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE CHRISTINE LAKE |
| Credential | RN |
| Practice Address |
317 S Broadway Camden NJ 08103-1209 |
| Practice Telephone | 8563653519 |
| Mailing Telephone | 8563653519 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
26NR16488600 | NJ | Nursing Service Providers |
| Street Address |
317 S BROADWAY |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804159 | Karina Rios | Nurse Practitioner | 317 S Broadway, Camden, NJ 08103-1209 | 2019-01-03 |
| 1952844847 | Erica Tsakiris | Nurse Practitioner | 317 S Broadway, Camden, NJ 08103 | 2016-11-23 |
| 1851740484 | Mary Patricia Kinslow | Licensed Practical Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2016-06-04 |
| 1548647001 | Angela Robertson | Licensed Practical Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2015-05-04 |
| 1841693157 | Allison Stevens | Registered Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2014-09-30 |
| 1477956985 | Prisca Naomi Schneider | Registered Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2014-09-29 |
| 1689081440 | Diann Holmes | Registered Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2014-07-14 |
| 1053632612 | Mellanie Woods | Licensed Practical Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2010-06-17 |
| 1548582760 | Debbie Ann Muzones | Registered Nurse | 317 S Broadway, Camden, NJ 08103-1209 | 2010-02-16 |
| 1467684274 | Denise Long | Nurse Practitioner | 317 S Broadway, Camden, NJ 08103-1209 | 2009-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801326665 | Kara Mcquillan | Registered Nurse | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2017-06-14 |
| 1790094431 | Jessica Ilyse Burns | Registered Nurse | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487930897 | Nancy Ann Mills | Registered Nurse | 1054 Rainbow Cir, Pittsgrove, NJ 08318-9166 | 2011-10-30 |
| 1609090984 | Georgia Blair | Registered Nurse | 41 Obre Pl, Shrewsbury, NJ 07702-4123 | 2007-04-11 |
| 1972908465 | Leslie Skillman-hull | Registered Nurse | 22 Elm St, Morristown, NJ 07960-8803 | 2014-10-27 |
| 1528192705 | Beverly R Warwick | Registered Nurse | 69 Newman Springs Rd E, Shrewsbury, NJ 07702-4038 | 2007-03-16 |
| 1003951831 | Carole Ann Nunes | Registered Nurse | 69 Newman Springs Rd E, Shrewsbury, NJ 07702-4038 | 2007-02-20 |
| 1346206273 | Curtiss P Hannum | Registered Nurse | 502 Kings Hwy N, Cherry Hill Women's Center, Cherry Hill, NJ 08034-1502 | 2006-04-20 |
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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.