TRENTON NICKERSON (NPI# 1629554894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629554894 |
| Entity Type | Individual |
| Full Name | TRENTON NICKERSON |
| Credential | DNP |
| Practice Address |
1515 Sw Archer Rd Gainesville FL 32608-1134 |
| Practice Telephone | 3522650111 |
| Mailing Telephone | 3522650111 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9410181 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9410181 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100724700 | 05 |
| Street Address |
1515 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871657221 | Arturo Gilberto Torres | Anesthesiology | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2006-12-20 |
| 1417556184 | Victoria Hilton | Registered Nurse | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-10-22 |
| 1467050120 | Edwin Villert | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-10-15 |
| 1093327942 | Morgan Landis | Anesthesiologist Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-21 |
| 1841802956 | Adam Eugene Chartrand | Anesthesiologist Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-19 |
| 1053923227 | Kristina Horstman | Dietitian, Registered | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-19 |
| 1609487883 | Jasmin Marcelle Tawfic | Pharmacist | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-12 |
| 1902420037 | Susan Huang | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-06-04 |
| 1801410212 | Tiffany Lynn Eisenbach | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-06-01 |
| 1114548906 | Peter Michael Vonu | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908446 | Jade Asante-selby | Nurse Practitioner | 3030 Mcever Rd Ste 130, Gainesville, GA 30504-5538 | 2020-09-28 |
| 1295349405 | Mildred K Myrtil | Nurse Practitioner | 3754 Nw 54th Ln, Gainesville, FL 32653-0859 | 2020-09-04 |
| 1821608712 | Talia Rose Maschino | Nurse Practitioner | 1430 Se 51st St, Gainesville, FL 32641-1962 | 2020-08-05 |
| 1760006282 | Chariza Parsons Lopez | Nurse Practitioner | 8340 Nw 51st St, Gainesville, FL 32653-6182 | 2020-06-01 |
| 1255961017 | Whitney Necole Mcneely | Nurse Practitioner | 3009 Sw Williston Rd, Gainesville, FL 32608-3928 | 2020-01-21 |
| 1255961249 | Jared David Mincey | Nurse Practitioner | 10405 Sw 122nd St, Gainesville, FL 32608-5843 | 2020-01-19 |
| 1346870565 | Emily Grace Holbrook | Nurse Practitioner | 650 Crestview Ter, Gainesville, GA 30501-3110 | 2020-01-16 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1124676218 | Fasika T Enyew | Nurse Practitioner | 1870 Atlanta Hwy, Gainesville, GA 30504-5948 | 2019-08-31 |
| 1821641416 | Julie Tiegs | Nurse Practitioner | 5431 Little River Cir, Gainesville, GA 30506-3191 | 2019-07-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
Please comment or provide details below to improve the information on TRENTON NICKERSON.
| 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.