NICOLE C. ENGELBERT


Address: 3000 Mack Rd, Ste 120, Fairfield, OH 45014-5335
Phone: 5136826975

NICOLE C. ENGELBERT (NPI# 1629355466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629355466
Entity Type Individual
Full Name NICOLE C. ENGELBERT
Credential CNP
Practice Address 3000 Mack Rd
Ste 120
Fairfield
OH 45014-5335
Practice Telephone 5136826975
Practice Fax Number 5136826976
Mailing Telephone 5136826975
Mailing Fax Number 5136826976
Enumeration Date 2011-11-08
Last Update Date 2012-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
COA.12810-NP OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0057018 05

Office Location

Street Address 3000 MACK RD
STE 120
City FAIRFIELD
State OH
Zip Code 45014-5335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831193739 Nuray Radiologists Inc Specialist 3000 Mack Rd, Fairfield, OH 45014-5335 2005-06-08
1407454283 Marcelina Gomez Almazan Nurse Practitioner 3000 Mack Rd, Fairfield, OH 45014-5335 2020-10-13
1740896679 Lane Elise Mccormick Registered Nurse 3000 Mack Rd, Fairfield, OH 45014-5335 2020-09-16
1316570039 Weiguo Chen Registered Nurse 3000 Mack Rd, Fairfield, OH 45014-5335 2020-02-20
1932747755 Kristi Marie Conroy Nurse Anesthetist, Certified Registered 3000 Mack Rd, Fairfield, OH 45014-5335 2019-12-11
1508324468 Stephen Rogers Nurse Practitioner 3000 Mack Rd, Fairfield, OH 45014-5335 2019-03-08
1619446259 Robbyn Holbrook Everette Registered Nurse 3000 Mack Rd, Fairfield, OH 45014-5335 2018-11-13
1154806511 Chelsea Rae Adkins Registered Nurse 3000 Mack Rd, Fairfield, OH 45014-5335 2018-10-01
1881115756 Kimberly S Mullholand Physical Therapist 3000 Mack Rd, Fairfield, OH 45014-5335 2017-06-30
1609305432 Rockzine Ngwa Nurse Practitioner 3000 Mack Rd, Mercy Hospital, Fairfield, OH 45014 2017-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326526872 Megan Coleen Hamill Registered Nurse 6570 Sosna Drive, Fairfield, OH 45014 2018-08-06
1831695642 James Grant Walther Contractor 16408 Jeanie Drive, Aurora, IN 45014 2018-04-02
1104339837 Tamara Rochester Registered Nurse 5474 Yellowstone Dr, Fairfield, OH 45014 2017-11-16
1104335892 Barbara Johnson Registered Nurse 2853 Saturn Drive, Fairfield, OH 45014 2017-09-25
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1669916789 Lacretia Ancona In Home Supportive Care 700 Wessel Dr #181505, Fairfield, OH 45014 2016-12-08
1134676299 Lynne Mutuku Licensed Practical Nurse 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 2016-09-07
1104291020 Mimi Supportive Hands .llc Home Health 6 Ridge Dr Apt 203, Cincinnati, OH 45014 2015-12-03
1215319181 Brittany Beck Social Worker 3050 Mack Rd Ste 205, Fairfield, OH 45014 2015-06-26
1093193278 Ashli Tanner Specialist/Technologist 8790 N. Gilmore Rd., Fairfield, OH 45014 2015-05-08
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003422916 Rebecca Hardt Nurse Practitioner 79 Applewood Dr, Fairfield, OH 45014-5297 2020-09-17
1841741816 Og Medical Services, LLC Nurse Practitioner 3830 Woodridge Blvd Ste C, Fairfield, OH 45014-7564 2016-10-14
1164038725 George Edward Guju Jr. Nurse Practitioner 925 Deis Dr, Fairfield, OH 45014-8130 2020-09-18
1265993083 Min Choi Nurse Practitioner 101 Bodin Cir, Fairfield, CA 94535-1809 2019-03-26
1609304963 Rebecca L Parker Nurse Practitioner 1860 Pennsylvania Ave, Fairfield, CA 94533-3590 2017-05-31
1023436813 Laurence Cecilio Nurse Practitioner 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 2014-03-31
1225381833 Traci N Phillips Nurse Practitioner 3000 Mack Rd, Ste 120, Fairfield, OH 45014-5335 2012-10-19
1992057004 Alonya Elgrably Nurse Practitioner 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 2012-10-12
1174894612 Damon N Toczylowski Nurse Practitioner 101 Bodin Cir, Fairfield, CA 94535-1809 2012-01-13
1851521470 Amanda L Rumpke Nurse Practitioner 3000 Mack Rd, Ste. 120, Fairfield, OH 45014-5335 2009-07-16
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Competitor

Search similar providers

City FAIRFIELD
Zip Code 45014

Improve Information

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Dataset Information

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.

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