NICOLE MARIE CONWAY (NPI# 1467098202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467098202 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE CONWAY |
| Credential | NP-C |
| Practice Address |
9880 E Michigan Ave # 100 Galesburg MI 49053-8641 |
| Mailing Address |
126 Canterbury Dr Charlotte MI 48813-1039 |
| Practice Telephone | 2696657092 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704249957 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177844 | Nicole Elizabeth Conway | Physician Assistant | 11011 Sheridan St, Suite 302, Hollywood, FL 33026-1505 | 2015-10-30 |
| 1356690507 | Nicole Conway | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2012-09-04 |
| Street Address |
9880 E MICHIGAN AVE # 100 |
| City | GALESBURG |
| State | MI |
| Zip Code | 49053-8641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497240162 | Ella Philander | Assistant Behavior Analyst | 5370 N 37th St, Galesburg, MI 49053 | 2018-06-26 |
| 1992098404 | Terry Ray Walker | Pharmacist | 9880 E. Michigan Ave, Galesburg, MI 49053 | 2011-05-17 |
| 1144746637 | Richard Alvin Finedell Jr. | Nurse Practitioner | 10310 Miller Dr, Galesburg, MI 49053 | 2017-08-17 |
| 1801900121 | Judy J Mitchelson | Physician Assistant | 10310 Miller Dr, Galesburg, MI 49053 | 2006-08-17 |
| 1306071634 | Amy Kay Embury | Psychologist | 9673 Candytuft, Galesburg, MI 49053-7724 | 2009-05-15 |
| 1134579378 | Nicole Tijerina | Technician, Other | 8396 Doe Ave, Galesburg, MI 49053-7742 | 2016-06-19 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1790892305 | Leon B Papendick | Physician Assistant | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2006-08-23 |
| 1467673525 | The Doctors Group | Family Medicine | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2007-05-02 |
| 1376025676 | This Day Counseling, LLC | Community/Behavioral Health | 10144 Castle Creek Cir, Galesburg, MI 49053-8642 | 2018-09-04 |
| Find all providers in zip 49053 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821644683 | Kasey Lynn Kramer | Nurse Practitioner | 326 Westport Rd, Galesburg, IL 61401-9522 | 2019-08-16 |
| 1952888299 | Dina Beth Witter | Nurse Practitioner | 311 E Main St Ste 409, Galesburg, IL 61401-4867 | 2018-07-19 |
| 1669022752 | Angela M Bickett | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-19 |
| 1902455140 | Bailey Jean Bucher | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-10 |
| 1417509407 | Tara Lynn Livingston | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-07-10 |
| 1770147738 | Emily L Dechow | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-25 |
| 1508360066 | Angela B Klapp | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2018-03-20 |
| 1386142503 | Alivia Renea Derham | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2018-01-23 |
| 1780193110 | Rachel E Lewandowski | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-09-28 |
| 1346762101 | Deprince Cardenas | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-07-13 |
| Find all providers in GALESBURG | ||||
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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.