MRS. NICOLE L HANCOCK (NPI# 1548682339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548682339 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE L HANCOCK |
| Credential | RD |
| Practice Address |
35629 Highway 72 Salem MO 65560-7217 |
| Mailing Address |
1084 County Road 2630 Salem MO 65560-7967 |
| Practice Telephone | 5737295917 |
| Practice Fax Number | 5737295636 |
| Mailing Telephone | 4175473373 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2010033235 | MO | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 2460 | TN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CLIA (TCMH) | 26D0446923 | 01 |
| MO | CIGNA PID | 0957151 | 01 |
| MO | UHC MPIN | 003775591 | 01 |
| MO | 350081231 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1333 S Sam Houston Blvd, Houston, MO 654832046 | 4179671243 | 4179671343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154764959 | Nicole S Hancock | Licensed Practical Nurse | 327 W Elm St, East Rochester, NY 14445-2226 | 2013-04-10 |
| 1043217425 | Nicole D Hancock | Podiatrist | 1330 Citizens Blvd, Suite 301, Leesburg, FL 34748-3959 | 2005-06-30 |
| 1104489210 | Nicole Renae Hancock | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2019-04-16 |
| 1336433200 | Nicole Hancock | Internal Medicine | 3480 College St, Beaumont, TX 77701 | 2011-06-08 |
| Street Address |
35629 HIGHWAY 72 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1760966188 | Mandi Nicole Parks | Nurse Practitioner | 35629 Highway 72, Salem, MO 65560-7217 | 2018-09-21 |
| 1851891709 | Jill Dean | Occupational Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2018-02-16 |
| 1902346240 | Sarah Knott | Physical Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2017-03-06 |
| 1306226998 | Zachary Moser | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-06-09 |
| 1730566274 | Melody Marie Montgomery | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-05-05 |
| 1891034229 | Qmb Radiology LLC | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2013-02-05 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1255661690 | Radex, Inc | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2010-01-07 |
| 1114062387 | Anne M Delonais-turner | Emergency Medicine | 35629 Highway 72, Salem, MO 65560-7217 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1730716069 | Bethany Frieler | Dietitian, Registered | 266 Missouri Ave S, Salem, OR 97302-4564 | 2020-03-25 |
| 1952865941 | Erica Lee Klag | Dietitian, Registered | 1 Oakland St, Salem, MA 01970-1520 | 2019-01-24 |
| 1306399761 | Michelle Garcia | Dietitian, Registered | 3886 Beverly Ave Ne Ste 6, Salem, OR 97305-1373 | 2016-08-02 |
| 1518321389 | Grace Wilburn | Dietitian, Registered | 306 Front Ave, Salem, VA 24153-6233 | 2016-04-07 |
| 1376925719 | Premier Endocrinology Associates, LLC | Dietitian, Registered | 960 Liberty Street Se Suite 170, Salem, OR 97302 | 2015-06-22 |
| 1558772319 | Shannon Woodward D'aquila Haynes | Dietitian, Registered | 354 Darling Rd, Salem, CT 06420-3913 | 2014-05-14 |
| 1508284472 | Katherine Spann | Dietitian, Registered | 890 Oak St Se Bldg D, Salem, OR 97301-3905 | 2014-03-28 |
| 1194140970 | Barbara E. Rougier | Dietitian, Registered | 3r Oak View Ave, Salem, MA 01970-4315 | 2014-03-03 |
| 1881019784 | Jennifer E Jasmin | Dietitian, Registered | 46 Northey St, Salem, MA 01970-3905 | 2014-02-28 |
| Find all providers in SALEM | ||||
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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.