DR. STACY ANN NICHOLS-BYLL (NPI# 1487624607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487624607 |
| Entity Type | Individual |
| Full Name | DR. STACY ANN NICHOLS-BYLL |
| Other Name | DR. STACY ANN NICHOLS |
| Credential | M.D. |
| Practice Address |
302 W Phillip Ave Norfolk NE 68701-5248 |
| Mailing Address |
1119 Road L Geneva NE 68361-3103 |
| Practice Telephone | 4023718000 |
| Practice Fax Number | 4023710971 |
| Mailing Telephone | 8303995455 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME111597 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 04-34598 | KS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101245035 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 21188 | NE | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 18698 | AL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01049920A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 S Bliss Ave, Tahlequah, OK 744642512 | 9184583100 |
| Street Address |
302 W PHILLIP AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386630051 | Mary Beth Smith | Registered Nurse | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2005-09-27 |
| 1750907754 | Jennifer Staman | Family Medicine | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2020-06-25 |
| 1710502802 | Shelby Marlene Freudenburg | Nurse Practitioner | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2020-06-15 |
| 1588289094 | Natalie Bussard | Dentist | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2020-06-10 |
| 1821634205 | Twila R Hoferer | Nurse Practitioner | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-11-20 |
| 1194378398 | Midtown Health Center, Inc. | Registered Nurse | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-07-17 |
| 1619529054 | Midtown Health Center, Inc. | Clinic/Center | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-07-16 |
| 1114499142 | Lauren Cox | Registered Nurse | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-01-02 |
| 1013491943 | Matthew Paul Schneider | Nurse Practitioner | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2018-09-17 |
| 1811414303 | Angela Kaye Anderson | Nurse Practitioner | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2017-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
| 1164801700 | Drexel Proctor | Pediatrics | 601 Childrens Ln Fl 6, Norfolk, VA 23507-1910 | 2015-05-28 |
| 1194084038 | Michael James Kochan | Pediatrics | 445 E Freemason St, Apt 2a, Norfolk, VA 23510-2453 | 2012-05-13 |
| 1184853749 | Eric Carroll | Pediatrics | 1562 Mitscher Avenue, Suite 250, Norfolk, VA 23551-2487 | 2009-07-03 |
| 1164650321 | Daniel B Spencer | Pediatrics | 400 Gresham Dr Ste 301, Norfolk, VA 23507-1901 | 2009-06-26 |
| 1548425218 | Mia Jin | Pediatrics | 810 W Princess Anne Rd, Apt 403, Norfolk, VA 23517-1871 | 2008-07-22 |
| 1851559504 | Princess Anne Pediatrics | Pediatrics | 5040 E Princess Anne Rd Ste A, Norfolk, VA 23502-1733 | 2008-05-29 |
| 1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
| 1790957447 | Kimberly Bryant Schindler | Pediatrics | 1909a Granby Street, Norfolk, VA 23517-2349 | 2008-04-01 |
| 1346425261 | Melissa Buryk | Pediatrics | 1210 Redgate Ave, Norfolk, VA 23507-1331 | 2008-01-09 |
| Find all providers in NORFOLK | ||||
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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.