NICOLE LORAINE BANKS (NPI# 1548742307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548742307 |
| Entity Type | Individual |
| Full Name | NICOLE LORAINE BANKS |
| Credential | PA-C |
| Practice Address |
2945 S Dobson Rd Mesa AZ 85202-7941 |
| Mailing Address |
6140 E Fairfield St Mesa AZ 85205-5963 |
| Practice Telephone | 4809694138 |
| Mailing Telephone | 4802329039 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1720593759 | Nicole Malise Banks | Counselor | 8501 Lasalle Rd, Suite 115, Towson, MD 21286 | 2017-12-13 |
| 1538686365 | Nicole Banks | Social Worker | 8470 Morrison Rd Ste A, New Orleans, LA 70127 | 2017-08-23 |
| 1538685763 | Nicole Banks | Counselor | 201 8th St, San Francisco, CA 94103-3910 | 2017-08-18 |
| 1396268272 | Nicole K Banks | Pharmacist | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2017-07-21 |
| 1548412281 | Nicole Terese Banks | Physical Therapist | 1 Delaware Rd, Kenmore, NY 14217-2743 | 2008-10-14 |
| 1740438902 | Nicole Kay Banks | Obstetrics & Gynecology | 9109 Stony Point Dr, Richmond, VA 23235 | 2008-08-29 |
| Street Address |
2945 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-7941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317180 | J. Greg Rula | Surgery | 2945 S Dobson Rd, Mesa, AZ 85202-7980 | 2005-06-23 |
| 1306407713 | Megan Joy Darrow | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2019-06-26 |
| 1851817902 | Camille Elyse Walker | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202 | 2017-08-21 |
| 1568986453 | Lacey M Reed | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2017-08-01 |
| 1720536113 | Leedah Zafari | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2016-09-14 |
| 1891240594 | Shahab Sobhanian | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2016-08-23 |
| 1174995245 | Franchesca Giovannini Alexander | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2015-10-28 |
| 1205217031 | Rachel Jameyson Sanders | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2015-06-17 |
| 1699170100 | Anna Conetta Haakenson | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2014-10-27 |
| 1225466121 | Sarah Arnce | Physician Assistant | 2945 S Dobson Rd, Mesa, AZ 85202-7941 | 2013-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1679826051 | Az Richardson Surgical Services, LLC | Physician Assistant | 6417 E Star Valley St, Mesa, AZ 85215-0891 | 2012-10-22 |
| 1508173014 | Karli Elizabeth Vierra | Physician Assistant | 1450 S Dobson Rd Ste 320b, Mesa, AZ 85202-4765 | 2010-09-03 |
| 1023335627 | Shawn Christopher Smith | Physician Assistant | 1432 S. Dobson Road, Suite 501, Mesa, AZ 85202 | 2010-04-23 |
| 1144460221 | April M Cadreau | Physician Assistant | 5235 E Southern Ave Ste D106-159, Mesa, AZ 85206 | 2009-03-02 |
| 1598987505 | Patricia Kim Brown | Physician Assistant | 1002 E. Sorenson St., Mesa, AZ 85203 | 2007-05-02 |
| 1275632788 | Justina D Alphin | Physician Assistant | 7525 E Broadway Rd Ste 3, Mesa, AZ 85208-1156 | 2006-09-21 |
| 1750390803 | Daniel Stephen Blake | Physician Assistant | 1839 E Enrose St, Mesa, AZ 85203-5822 | 2006-08-07 |
| Find all providers in MESA | ||||
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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.