CAITLYN NICOLE NICHOLS (NPI# 1598225815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598225815 |
| Entity Type | Individual |
| Full Name | CAITLYN NICOLE NICHOLS |
| Credential | PNP |
| Practice Address |
330 Oak Terrace Blvd Holland OH 43528-8993 |
| Mailing Address |
329 N West St Lima OH 45801-4332 |
| Practice Telephone | 5673184001 |
| Practice Fax Number | 4192258878 |
| Mailing Telephone | 4192213072 |
| Mailing Fax Number | 4195495671 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704314973 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP.024298 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
330 OAK TERRACE BLVD |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-8993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841274008 | Lucas County Auditor | Clinic/Center | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2005-12-01 |
| 1760952741 | Health Partners of Western Ohio | Clinic/Center | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2018-12-03 |
| 1811350358 | Janet Elizabeth Hammer | Registered Nurse | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2016-04-01 |
| 1669875332 | Lucas County Auditor | Clinic/Center | 330 Oak Terrace Blvd, Billing Department, Holland, OH 43528-8993 | 2014-10-08 |
| 1255634465 | Carol Elaine Schnapp | Registered Nurse | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2010-12-09 |
| 1265469811 | Anthony D Atkins | Family Medicine | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2006-06-27 |
| 1821049354 | David Ira Friedman | Family Medicine | 330 Oak Terrace Blvd, Western Lucas Clinic, Holland, OH 43528-8993 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366729576 | Carrita Loree Plaskewicz | Nurse Practitioner | 926 Washington Ave, Holland, MI 49423-7725 | 2011-11-16 |
| 1962789560 | Jacquelyn Sue Kiefer | Nurse Practitioner | 926 Washington Ave, Holland, MI 49423-7725 | 2011-11-10 |
| 1609153485 | Jaclynn Lea Lubbers | Nurse Practitioner | 926 Washington Ave, Holland, MI 49423-7725 | 2011-11-08 |
| 1003141623 | Debra Harvey | Nurse Practitioner | 295 Buck Rd, Suite 105, Holland, PA 18966-1733 | 2009-10-15 |
| 1396900155 | Rebecca Jean Wierks | Nurse Practitioner | 602 Michigan Avenue, Boven Birth Center, Holland, MI 49423 | 2008-07-22 |
| 1063670677 | Angela Marie Smith | Nurse Practitioner | 926 Washington Ave, Building C, Holland, MI 49423-7725 | 2008-05-30 |
| 1225256738 | Nicole Kristen Stewart | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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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.