DR. NICOLE JOSEPHINE WILLIAMS-MYERS (NPI# 1710124193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710124193 |
| Entity Type | Individual |
| Full Name | DR. NICOLE JOSEPHINE WILLIAMS-MYERS |
| Other Name | DR. NICOLE J. WILLIAMS |
| Credential | PH.D. |
| Practice Address |
2831 Saint Rose Pkwy Ste 200 Henderson NV 89052-4841 |
| Practice Telephone | 7025894822 |
| Practice Fax Number | 7025894823 |
| Mailing Telephone | 7025894822 |
| Mailing Fax Number | 7025894823 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0572 | NV | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0572 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICARE GROUP PTAN | DZ414A | 01 |
| NV | MEDICARE PTAN | CB227Z | 01 |
| Street Address |
2831 SAINT ROSE PKWY STE 200 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200160 | Jingle C Kavinta | Nurse Practitioner | 2831 Saint Rose Pkwy Ste 200, Henderson, NV 89052-4841 | 2020-09-22 |
| 1972119709 | Jingle Ching Kavinta Pllc | Nurse Practitioner | 2831 Saint Rose Pkwy Ste 200, Henderson, NV 89052-4841 | 2020-09-17 |
| 1700421484 | Dao Huynh | Registered Nurse | 2831 Saint Rose Pkwy Ste 200, Henderson, NV 89052-4841 | 2019-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546221 | Christeen Sonaly Silva | Psychologist | 981 Whitney Ranch Dr Apt 826, Henderson, NV 89014-2570 | 2020-07-26 |
| 1174086714 | Kc Creek Equestrian, LLC | Psychologist | 9906 Cr 468 W, Henderson, TX 75654 | 2019-04-10 |
| 1497161392 | Janell Marie Mihelic | Psychologist | 660 Finch Island Ave, Henderson, NV 89015-6637 | 2014-07-11 |
| 1760769764 | Jennifer Dawn Karmely | Psychologist | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2011-11-04 |
| 1538459722 | Christina A Patterson | Psychologist | 2460 Paseo Verde Pkwy Ste 100, Henderson, NV 89074-7136 | 2011-04-09 |
| 1942449806 | Richard H Pratt Phd Ltd | Psychologist | 701 N Green Valley Pkwy # 293, Henderson, NV 89074-6177 | 2009-02-16 |
| 1831376771 | Leah Wingeart | Psychologist | 1977 Via Firenze, Henderson, NV 89044-0256 | 2008-01-23 |
| 1972795680 | Comprehensive Psychological Services LLC | Psychologist | 1335 Bayleaf Terrace Ave, Henderson, NV 89014-8867 | 2007-08-16 |
| 1457565434 | Patricia Barrera | Psychologist | 701 N Green Valley Pkwy, Suite 200, Henderson, NV 89074-6177 | 2007-05-09 |
| 1699832857 | Camilla Rogers | Psychologist | 943 W Andrews Ave Ste P, Henderson, NC 27536-2587 | 2007-01-03 |
| Find all providers in HENDERSON | ||||
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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.