NICOLE HART (NPI# 1609258904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609258904 |
| Entity Type | Individual |
| Full Name | NICOLE HART |
| Practice Address |
1109 Jones St Kennett MO 63857-3824 |
| Practice Telephone | 5738886545 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932609989 | Nicole Yvett Hart | Licensed Vocational Nurse | 5275 Town and Country Blvd Apt 1445, Frisco, TX 75034-6240 | 2018-02-16 |
| 1730725136 | Nicole Hart | Massage Therapist | 660 Central Ave, Dover, NH 03820-3491 | 2019-11-20 |
| 1891083051 | Nicole Hart | Psychologist | 545 Westminster St, Fitchburg, MA 01420-4727 | 2011-07-21 |
| 1497054407 | Nicole M Hart | Physician Assistant | 5501 Old York Rd, Lifter Building First Floor, Philadelphia, PA 19141-3018 | 2011-03-17 |
| 1811029663 | Nicole Marie Hart | Licensed Practical Nurse | 6545 13 Mile Rd Ne, Rockford, MI 49341-9714 | 2007-03-09 |
| Street Address |
1109 JONES ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013023860 | Carl Rodney Fisher | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2006-08-22 |
| 1588265565 | Jaymie Rena Glass | Case Manager/Care Coordinator | 1109 Jones St, Kennett, MO 63857-3824 | 2020-11-05 |
| 1205468402 | James Berry Rogers | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2020-02-06 |
| 1528698156 | Dylon Deauston Holt | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-23 |
| 1598305351 | Lora Nicole Wilson | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-09 |
| 1336799428 | William Robert Davis Jr. | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-09-19 |
| 1013564947 | Chelsi Joann Masterson | Case Manager/Care Coordinator | 1109 Jones St, Kennett, MO 63857-3824 | 2019-08-26 |
| 1790337442 | Kelsi Michelle Moody | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-07-12 |
| 1649839002 | James Mark Howell | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-06-10 |
| 1497313308 | Jacqueline Michelle Morris | Health Educator | 1109 Jones St, Kennett, MO 63857-3824 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649653221 | Berley Beck | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2015-07-01 |
| 1366824245 | Leah Barton | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2015-06-26 |
| 1770965246 | Hilary Hill | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2015-06-22 |
| 1033506423 | Jessica Wilson | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2015-04-23 |
| 1346656519 | Laura Curry | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2014-07-08 |
| 1326454695 | Kelsae Wyrick | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2014-07-08 |
| 1427464791 | George Pierce | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2014-07-08 |
| 1437565702 | Nicholas Small | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2014-07-08 |
| 1811319932 | Sarah Daily | Substance Abuse Rehabilitation Facility | 1109 Jones St, Kennett, MO 63857-3824 | 2014-01-08 |
| 1508923525 | Family Counseling Center, Inc. | Substance Abuse Rehabilitation Facility | 925 Hwy V V, Kennett, MO 63857 | 2007-01-02 |
| Find all providers in KENNETT | ||||
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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.