NICOLE STANLEY (NPI# 1629611538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629611538 |
| Entity Type | Individual |
| Full Name | NICOLE STANLEY |
| Credential | CDCA QMHSBA CMS BA |
| Practice Address |
2173 N Ridge Rd E Ste E Lorain OH 44055-3400 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA170240 | OH | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | OH | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732942 | Nicole Stanley | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-07-17 |
| 1588126957 | Nicole Stanley | Nurse Practitioner | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2019-04-03 |
| 1558725861 | Nicole Anne Stanley | Nurse Practitioner | 7 Greenwood Ave, Conway, NH 03818-6130 | 2016-04-12 |
| 1194189720 | Nicole Stanley | Student in an Organized Health Care Education/Training Program | University of Utah Hospital, 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-04-10 |
| Street Address |
2173 N RIDGE RD E STE E |
| City | LORAIN |
| State | OH |
| Zip Code | 44055-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847315 | Rachel Ann Ebersole | Social Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2009-09-18 |
| 1801495478 | Taylor L Bremke | Community Health Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-10-23 |
| 1275131336 | Tashe Mcginnis | Community Health Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-10-12 |
| 1891302477 | Carlos Rodriguez | Counselor | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-09-28 |
| 1588271191 | Lauren P Staggers | Counselor | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-09-28 |
| 1295349421 | Ashley Nicole Marlow | Social Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-09-04 |
| 1508478009 | Kora Wetzel | Community Health Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-08-18 |
| 1639780455 | Rhanda Fillmore | Community Health Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-08-14 |
| 1932724309 | Chimere Leair Moon | Community Health Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-06-11 |
| 1205450731 | Kirsten Lara | Social Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417585910 | Millennium Medical Group | Home Health | 2420 E 29th St, Lorain, OH 44055 | 2020-03-30 |
| 1871076356 | Elba Padua | Home Health | 1943 E 32nd St, Lorain, OH 44055 | 2018-09-11 |
| 1811475494 | Michael Anthony Spataro | Licensed Practical Nurse | 3226 Oakdale Ave, Lorain, OH 44055 | 2018-08-05 |
| 1942617030 | Ohio Guidestone | Community/Behavioral Health | 2173 North Ridge Road, Suite E, Lorain, OH 44055 | 2014-07-21 |
| 1750648259 | Jamie M Mcghee | Licensed Practical Nurse | 2238 E 34th St, Lorain, OH 44055 | 2012-04-20 |
| 1669771747 | J. Christopher Cuda | Social Worker | 1865 N Ridge Rd E Ste D, Lorain, OH 44055 | 2011-03-15 |
| 1093989477 | Norberto L Juan | Family Medicine | 3745 Grove Ave., Lorain, OH 44055 | 2008-04-16 |
| 1629529367 | Laura Reed | Social Worker | 1882 E 32nd St, Lorain, OH 44055 | 2016-10-18 |
| 1609226067 | Kimberly R H Krzemienieswki | Social Worker | 2173 N Ridge Rd E, Suite E, Lorain, OH 44055 | 2016-06-16 |
| 1982030219 | Tasha Ford | Counselor | 2173 N Ridge Rd E, Lorain, OH 44055 | 2013-09-18 |
| Find all providers in zip 44055 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411051 | Shatela R. Evans | Counselor | 3002 Brookview Dr, Lorain, OH 44053-1427 | 2017-07-31 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1831625391 | John Corry | Counselor | 4520 Oberlin Ave Ste 2, Lorain, OH 44053-3173 | 2017-05-03 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| 1821470881 | Eva Lozano | Counselor | 2318 E 29th St, Lorain, OH 44055-2008 | 2015-06-25 |
| 1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
| 1730794298 | Jimmy Jay Christian | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-09-11 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1467077305 | Jonetha Ali | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-06-16 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| Find all providers in LORAIN | ||||
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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.