NICOLE NALLEY TATE (NPI# 1477074516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477074516 |
| Entity Type | Individual |
| Full Name | NICOLE NALLEY TATE |
| Credential | FNP-C |
| Practice Address |
442 S Highway 27 Stanley NC 28164-2055 |
| Practice Telephone | 7042631416 |
| Practice Fax Number | 4016529787 |
| Mailing Telephone | 7042631416 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
216403 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275713190 | Nicole Marie Tate | Nurse's Aide | 20183 Greenlawn St, Detroit, MI 48221-1147 | 2007-11-08 |
| 1962401901 | Nicole Tate | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 225, Lodi, CA 95240-5100 | 2005-07-20 |
| Street Address |
442 S HIGHWAY 27 |
| City | STANLEY |
| State | NC |
| Zip Code | 28164-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505651 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 442 S Highway 27, Stanley, NC 28164-2055 | 2006-09-07 |
| 1578037099 | Kate Laukaitis Tingen | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2019-01-17 |
| 1972919108 | Stephanie Lynn Perkins | Pharmacist | 442 S Highway 27, Stanley, NC 28164-2055 | 2014-07-09 |
| 1295000834 | Cam Hoai Duong | Pharmacist | 442 S Highway 27, Stanley, NC 28164-2055 | 2012-03-15 |
| 1417252743 | Jennifer Ann Pachick | Pharmacist | 442 S Highway 27, Stanley, NC 28164-2055 | 2011-01-18 |
| 1467756155 | Amy J Rodgers | Pharmacist | 442 S Highway 27, Stanley, NC 28164-2055 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059430 | Stress Free Home Care | In Home Supportive Care | 717 South Main St., Stanley, NC 28164 | 2012-11-06 |
| 1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
| 1912273863 | Cathleen Elizabeth Fisher | Pharmacist | 6050 South 16 North Carolina Highway, Denver, NC 28164 | 2012-03-26 |
| 1871779033 | Ronald M Cox Dds Pa | Dentist | 115 E College Street, Stanley, NC 28164 | 2008-01-17 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1154482230 | Frederick Mathew Hornack Jr. | Optometrist | 204 South Main Street, Stanley, NC 28164 | 2006-12-13 |
| 1871678110 | Fatima A Brens | Family Medicine | 700 N Main St, Stanley, NC 28164 | 2006-10-26 |
| 1518422633 | Amber Randall | Behavior Technician | 107 Devine St, Stanley, NC 28164-1151 | 2019-02-02 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| Find all providers in zip 28164 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104285592 | Dana Laurae Roloff | Nurse Practitioner | 503 7th Ave Se, Stanley, ND 58784-1016 | 2016-02-15 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1356431894 | Donna M Wacker | Nurse Practitioner | 615 6 St Se, Mountrail County Medical Center, Stanley, ND 58784 | 2006-10-13 |
| 1043775554 | Jamie Parlett Jenkins | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2019-02-08 |
| 1578037099 | Kate Laukaitis Tingen | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2019-01-17 |
| 1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
| 1891102729 | Kayde Guenthner | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2014-07-11 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| 1972734499 | Tara M Nardacci | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-31 |
| 1124279633 | Vonnie Jean Johnson | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2008-10-02 |
| Find all providers in STANLEY | ||||
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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.