NICOLE ORTIZ (NPI# 1528685823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528685823 |
| Entity Type | Individual |
| Full Name | NICOLE ORTIZ |
| Credential | PA-C |
| Practice Address |
215 Brightwater Dr Lillington NC 27546-5156 |
| Mailing Address |
67 Hybrid Ln Linden NC 28356-9473 |
| Practice Telephone | 9108921000 |
| Mailing Telephone | 3477856534 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178198 | Nicole Lynne Ortiz | Counselor | 835 Spruce St Ste D, Espanola, NM 87532-3455 | 2017-11-20 |
| 1942652565 | Nicole Ortiz | Contractor | 7607 250th St, Bellerose, NY 11426-2619 | 2016-07-07 |
| 1609168301 | Nicole Nadine Ortiz | Occupational Therapist | 2820 Clark Ave., Norco, CA 92860 | 2011-05-12 |
| 1902107873 | Nicole Ann Ortiz | Licensed Practical Nurse | 5438 N Long Island Dr, Apt.2, Upper, Milwaukee, WI 53209-5052 | 2010-11-09 |
| 1427295906 | Nicole M Ortiz | Naturopath | 78040 Lost Elk Trl, La Quinta, CA 92253-7168 | 2009-01-20 |
| 1114585957 | Nicole Ortiz | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2019-06-05 |
| 1811443047 | Nicole Ortiz | Student in an Organized Health Care Education/Training Program | 8405 Hollywood Blvd, Los Angeles, CA 90048 | 2016-08-28 |
| 1225496920 | Nicole Ortiz | Specialist | 7000 Austin St, Suite200, Forest Hills, NY 11375-1022 | 2016-02-09 |
| 1326446162 | Nicole Marie Ortiz | Nurse Practitioner | 1617 Route 88 W Ste 101, Brick, NJ 08724-3010 | 2014-12-10 |
| 1245644954 | Nicole Eddy Ortiz | Nurse Practitioner | 80 Norwich New London Tpke, Uncasville, CT 06382-2527 | 2014-06-20 |
| Street Address |
215 BRIGHTWATER DR |
| City | LILLINGTON |
| State | NC |
| Zip Code | 27546-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518398981 | Melissa Cook Davis | Physician Assistant | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2013-12-10 |
| 1033731088 | Anita Meenakshi Subramanian | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-05-13 |
| 1275162224 | Bryce Howe | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-04-02 |
| 1447889530 | Danius E Bouyi | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-04-02 |
| 1952939399 | Jacques Maurice Villien | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-03-31 |
| 1235767898 | Farman Ali Usman | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-03-30 |
| 1861020455 | Abdelrahman Elemam | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-03-30 |
| 1255969036 | Samuel Alexander | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-03-29 |
| 1851929749 | Ruo Yi Wang | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-03-28 |
| 1649808536 | Jeffrey Olmstead | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859560 | Alvin Yan | Student in an Organized Health Care Education/Training Program | 4350 Us-421, Lillington, NC 27546 | 2020-04-16 |
| 1982231056 | Nilesh Karam Vir Virmani | Student in an Organized Health Care Education/Training Program | 215 Bridgewater Drive, Lillington, NC 27546 | 2020-03-26 |
| 1902469745 | Katrina Lynn Lamont | Student in an Organized Health Care Education/Training Program | 216 Brightwater Drive, Lillington, NC 27546 | 2019-04-17 |
| 1548664550 | Realo Discount Drug Stores of Eastern North Carolina Inc | Pharmacy | 41 Bain St, Lillington, NC 27546 | 2014-10-20 |
| 1023420973 | Kidzcare Pediatrics, PC | Pediatrics | 1406 South Main Street, Lillington, NC 27546 | 2014-05-27 |
| 1316288350 | Harnett Emergency Physicians, Pllc | Emergency Medicine | 215 Brightwater Drive, Lillington, NC 27546 | 2013-03-14 |
| 1497008296 | Harnett Area Rural Transit System | Non-emergency Medical Transport (VAN) | 250 Alexander Drive, Lillington, NC 27546 | 2012-10-18 |
| 1063793115 | Silnettra Yvette Barnhill | Occupational Therapist | 44 Muscadine Ct, Lillington, NC 27546 | 2011-09-02 |
| 1356650816 | Allison Leslie Stephenson | Pharmacist | 813 Main St., Lillington, NC 27546 | 2010-10-01 |
| 1417266057 | Shannon Renee Lebakken | Pharmacist | 803 North Main Street, Lillington, NC 27546 | 2010-09-30 |
| Find all providers in zip 27546 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538623269 | Susan Claire Gucciardi Anderson | Physician Assistant | 214 Saddle Ln, Lillington, NC 27546-6717 | 2019-01-28 |
| 1063910149 | Marshall Price | Physician Assistant | 1870 Keith Hills Rd, Lillington, NC 27546-8268 | 2018-01-24 |
| 1295154805 | Samantha Joelle Rushton | Physician Assistant | 100 S 10th St Ste B, Lillington, NC 27546-6690 | 2014-04-10 |
| 1518398981 | Melissa Cook Davis | Physician Assistant | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2013-12-10 |
| 1659703841 | Christine Han | Physician Assistant | 100 S 1oth St, Lillington, NC 27546-6690 | 2013-07-30 |
| 1912026519 | David Merlin Paulson | Physician Assistant | 350 Pinestate St, Lillington, NC 27546 | 2007-03-28 |
| 1093335044 | Anna Finestone Leviere | Physician Assistant | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-04-20 |
| 1952920399 | Addison Roe | Physician Assistant | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-04-15 |
| 1881213213 | Kaitlyn Mae Rexroat | Physician Assistant | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-04-15 |
| 1790313807 | Nikkita Thomas | Physician Assistant | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-04-01 |
| Find all providers in LILLINGTON | ||||
| City | LILLINGTON |
| Zip Code | 27546 |
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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.