NICHOLE R SCHOLD (NPI# 1417417650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417417650 |
| Entity Type | Individual |
| Full Name | NICHOLE R SCHOLD |
| Credential | APRN |
| Practice Address |
801 Illini Dr Silvis IL 61282-1804 |
| Practice Telephone | 3097214001 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019004 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE NUMBER | 209.019004 | 01 |
| Street Address |
801 ILLINI DR |
| City | SILVIS |
| State | IL |
| Zip Code | 61282-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224310 | Leighton V Arcenas | Internal Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2005-09-06 |
| 1215550066 | Ndieme Ndoye | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-05-27 |
| 1558996942 | Marceline Kougbani-sebou | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-03-06 |
| 1023529252 | Payal Shah | Physician Assistant | 801 Illini Dr, Silvis, IL 61282-1804 | 2017-10-16 |
| 1295254175 | Ian Hart | Physician Assistant | 801 Illini Dr, Silvis, IL 61282-1804 | 2017-09-12 |
| 1376922930 | Muhammad Kumail Shah | Family Medicine | 801 Illini Dr, Silvis, IL 61282 | 2015-05-28 |
| 1104268622 | Pathsource Diagnostics, LLC | Pathology | 801 Illini Dr, Silvis, IL 61282-1804 | 2013-07-25 |
| 1144596743 | Samir M Mahfouz | Anesthesiology | 801 Illini Dr, Silvis, IL 61282-1804 | 2012-03-28 |
| 1164721429 | Heng Wu | Anesthesiology | 801 Illini Dr, Silvis, IL 61282-1804 | 2011-03-24 |
| 1699081042 | Geoffrey Michael Giordano | Emergency Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2010-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
| 1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
| 1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
| 1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
| 1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
| 1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
| Find all providers in zip 61282 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033684832 | Kristen Olin | Nurse Practitioner | 855 Illini Dr Ste 303, Silvis, IL 61282-2904 | 2018-10-08 |
| 1558996942 | Marceline Kougbani-sebou | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-03-06 |
| 1326561150 | Brooke Erin Smith | Nurse Practitioner | 855 Illini Dr Ste 304, Silvis, IL 61282-2904 | 2017-07-24 |
| 1942744495 | Melissa Kay Johnson | Nurse Practitioner | 801 Illini Drive, Echo Qc, Ltd, Silvis, IL 61282-1804 | 2016-12-16 |
| 1205202074 | Shannon Vanzummeren | Nurse Practitioner | 855 Illini Dr, Suite 304, Silvis, IL 61282-2907 | 2015-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
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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.