MISTY-LYNN NICHOLSON (NPI# 1659800050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659800050 |
| Entity Type | Individual |
| Full Name | MISTY-LYNN NICHOLSON |
| Credential | CPT |
| Practice Address |
3011 Whispering Pine Blvd Melissa TX 75454 |
| Mailing Address |
3011 Whispering Pine Blvd Melissa TX 75454-2653 |
| Practice Telephone | (585) 749-0077 |
| Mailing Telephone | 5857490077 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CPTE161215-17134 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CPT | CPTE161215-171347 | 01 |
| Street Address |
3011 WHISPERING PINE BLVD |
| City | MELISSA |
| State | TX |
| Zip Code | 75454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668898 | Melissa Tiny Teeth, Pllc | Dentist | 1500 Scott Street, Suite 200, Melissa, TX 75454 | 2020-04-24 |
| 1386279206 | Magnolia House Calls LLC | General Practice | 202 Fisherman Trail, Melissa, TX 75454 | 2020-03-11 |
| 1710540380 | Schuster Dental Group | Dentist | 1500 Scott St, Ste 100, Melissa, TX 75454 | 2019-04-18 |
| 1386117463 | Capital Dental Care | Dentist | 2302 Sam Rayburn Highway, Ste 100, Melissa, TX 75454 | 2019-01-10 |
| 1598145583 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2600 Sam Rayburn Hwy, Melissa, TX 75454 | 2015-06-04 |
| 1235457631 | Jennifer Effler | Registered Nurse | 3591 Mckinney St Ste 100, Melissa, TX 75454 | 2010-05-10 |
| 1497963698 | Anthony Alexis Vallarino | Family Medicine | 3080 Sam Rayburn Highway, Melissa, TX 75454 | 2007-05-19 |
| 1134631542 | Jaime Gamboa | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454 | 2017-10-26 |
| 1528437316 | Jennifer Kristin Slater | Nurse Practitioner | 3591 Mckinney St, 200, Melissa, TX 75454 | 2015-09-22 |
| 1164655098 | Paradise Dental Pa | Dentist | 2028 Hwy 121, Suite 300, Melissa, TX 75454-0000 | 2009-08-26 |
| Find all providers in zip 75454 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| 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.