NICHOLAS OTTLEY (NPI# 1518456177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518456177 |
| Entity Type | Individual |
| Full Name | NICHOLAS OTTLEY |
| Credential | AUD |
| Practice Address |
1351 E Spruce Ave Fresno CA 93720-3342 |
| Mailing Address |
8656 N Cedar Ave Apt 102 Fresno CA 93720-4803 |
| Practice Telephone | 5594323303 |
| Mailing Telephone | 7605608791 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1351 E SPRUCE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989561 | Ioana Schipor | Otolaryngology | 1351 E Spruce Ave, Central California Ear, Nose and Throat Medical Group, Fresno, CA 93720-3342 | 2005-08-11 |
| 1659838688 | Maelyn Danielle De Fede | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2019-02-26 |
| 1003382656 | Jodi Megumi Alatorre | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2018-10-22 |
| 1740722529 | Sara Snell | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2016-11-10 |
| 1962957928 | Jessi Grostefon | Physician Assistant | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2016-08-19 |
| 1346642642 | Jaime Sutton | Audiologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2014-09-18 |
| 1851534002 | Ericka Lyn Olsen | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2009-04-16 |
| 1992945729 | David Robert Foushee | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2009-03-06 |
| 1184828238 | Jennifer N Davies | Otolaryngology | 1351 E Spruce Ave, Fresno, CA 93720 | 2007-06-13 |
| 1881801157 | George C Hsu | Otolaryngology | 1351 E Spruce Ave, Fresno, CA 93720 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526672 | Chandni T Patel | Student in an Organized Health Care Education/Training Program | 9715 N Willey Ct, Fresno, CA 93720-5418 | 2020-07-29 |
| 1649892514 | Jasdeep Brar | Student in an Organized Health Care Education/Training Program | 4409 E Inyo St. Unit A, Fresno, CA 93702-2977 | 2020-05-13 |
| 1396364048 | Dessere Givertz | Student in an Organized Health Care Education/Training Program | 10155 N Edgewood Dr, Fresno, CA 93720-3423 | 2020-04-13 |
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1669001632 | Hunza Chaudhry | Student in an Organized Health Care Education/Training Program | 155 N Fresno St Ste 307, Fresno, CA 93701-2302 | 2020-04-02 |
| 1720616345 | Veronica Moffitt | Student in an Organized Health Care Education/Training Program | 6536 N Wheeler Ave, Fresno, CA 93722-3007 | 2020-03-30 |
| 1225682701 | Mariah Isabel Negrete | Student in an Organized Health Care Education/Training Program | 5503 W Pinedale Ave, Fresno, CA 93722-2348 | 2019-08-01 |
| 1174184543 | Keschia Matthews | Student in an Organized Health Care Education/Training Program | 2118 Beacon Light Ln, Fresno, TX 77545-7089 | 2019-06-25 |
| 1710545884 | Tanica Eboni Washington | Student in an Organized Health Care Education/Training Program | 4151 N Blythe Ave Apt 132, Fresno, CA 93722-6376 | 2019-06-03 |
| Find all providers in FRESNO | ||||
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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.