NICOLE LYNN OLAES


Address: 1020 W Lackawanna Ave, Scranton, PA 18504-2052
Phone: 5709046000

NICOLE LYNN OLAES (NPI# 1457978926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457978926
Entity Type Individual
Full Name NICOLE LYNN OLAES
Credential CRS
Practice Address 1020 W Lackawanna Ave
Scranton
PA 18504-2052
Mailing Address 15 Century Blvd Ste 307
Nashville
TN 37214-3692
Practice Telephone 5709046000
Practice Fax Number 5708714638
Mailing Telephone 6154250225
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 14047 PA Other Service Providers

Office Location

Street Address 1020 W LACKAWANNA AVE
City SCRANTON
State PA
Zip Code 18504-2052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437351178 Olapeju Modupeola Simoyan Family Medicine 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2007-06-04
1447876594 Kevin Charles Hughes Peer Specialist 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2020-06-24
1881210938 Shannon Reed Pieck Peer Specialist 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2020-06-24
1568088276 Dawn Marie Benfatti Peer Specialist 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2020-06-18
1982180683 Bien Xuan Nguyen Nurse Practitioner 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2018-07-16
1578938056 Ann Narcoonis Registered Nurse 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2015-12-09
1346510815 Caitlyn Rivero Physician Assistant 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2011-12-30
1255668125 Mark William Bohn Family Medicine 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2009-11-12
1487980793 Julie Ann Ohara Internal Medicine 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2009-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972141984 Stephanie Weisel Counselor 228 South Main Street, Scranton, PA 18504 2019-12-20
1326517889 Rebecca L Connor Chiropractor 2953 Frink Street, Scranton, PA 18504 2018-11-14
1598217028 Fresenius Medical Care West Scranton, LLC Clinic/Center 321 Meridian Ave, Scranton, PA 18504 2016-11-01
1902296999 Heart To Heart D/b/a Caring Matters Home Care In Home Supportive Care 118 South Main Avenue, Scranton, PA 18504 2015-01-28
1366846156 Roy Gilgallon Counselor 431 Rear Wyoming Ave, Scranton, PA 18504 2014-10-22
1659706596 Megan Oswald Speech-Language Pathologist 1024 Acker Ave, Scranton, PA 18504 2013-09-11
1912272261 Shannon Ritterbusch Occupational Therapist 1252 Rundle, Scranton, PA 18504 2012-03-20
1407992761 Vip Look Inc Durable Medical Equipment & Medical Supplies 455 N Main Ave, Scranton, PA 18504 2007-01-30
1073604443 Patrick F Cioni Counselor 138 S Cameron Avenue, Scranton, PA 18504 2006-09-28
1104935808 Vincent Luciano Ross Pediatrics 442 N Main Ave, Scranton, PA 18504 2006-08-29
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911313 Become Empowered Peer Specialist 529 Wyoming Ave, Scranton, PA 18509-3009 2020-10-27
1336766765 Marvin Mccloe Peer Specialist 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 2020-07-01
1891312260 Rebecca Elizabeth June Peer Specialist 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 2020-07-01
1447876594 Kevin Charles Hughes Peer Specialist 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2020-06-24
1881210938 Shannon Reed Pieck Peer Specialist 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2020-06-24
1568088276 Dawn Marie Benfatti Peer Specialist 1020 W Lackawanna Ave, Scranton, PA 18504-2052 2020-06-18
1174094502 Omni Health Services, Inc. Peer Specialist 301 Mulberry St, Scranton, PA 18503-1230 2018-12-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316545379 Antoine Johnson Peer Specialist 846 N 63rd St, Philadelphia, PA 19151-3443 2020-10-13
1679198535 Pamela Macon Peer Specialist 221 Ridge Ave, New Kensington, PA 15068-5432 2020-06-16
1750902490 Jamie Paige Eisner Peer Specialist 3934 Foster St, Apartment 332, Pittsburgh, PA 15201 2020-05-05
1134755861 Teri Julia Joscak Peer Specialist 515 Arlington Ave, North Versailles, PA 15137-1914 2020-03-13
1003449307 Melissa Miles Peer Specialist 101 Abbey Dr, Linfield, PA 19468-3310 2020-02-15
1326685256 The Warm House of Greater Pittsburgh Peer Specialist 249 N Craig St, Pittsburgh, PA 15213-1577 2019-12-10
1477190981 Barry Gilliam Peer Specialist 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 2019-12-03
1336783943 Jessica Elease Elam Peer Specialist 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 2019-11-06
1346881059 Linda Jean Ogden Peer Specialist 718 Wood St, Pittsburgh, PA 15221-2842 2019-10-03
1023661113 Gertrude Cunningham Peer Specialist 1041 W Bridge St Ste 420, Phoenixville, PA 19460-4342 2019-07-18
Find all providers with the same taxonomy

Competitor

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City SCRANTON
Zip Code 18504

Improve Information

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Dataset Information

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.

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