JENNIFER NICHOLS (NPI# 1710346549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710346549 |
| Entity Type | Individual |
| Full Name | JENNIFER NICHOLS |
| Other Name | JENNIFER BERTHIAUME |
| Credential | LMP |
| Practice Address |
15410 Heintz Ave Se Monroe WA 98272-1629 |
| Practice Telephone | 4252932027 |
| Mailing Telephone | 4252932027 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 00010580 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235319 | Jennifer Nichols | Speech-Language Pathologist | 8445 Spires Way Ste Cc, Frederick, MD 21701-5035 | 2018-12-05 |
| 1699198820 | Jennifer Lindsy Nichols I | Massage Therapist | 2695 Patterson Rd, Grand Junction, CO 81506-8814 | 2014-01-23 |
| 1972924702 | Jennifer Nichols | Student in an Organized Health Care Education/Training Program | 669 W 34th St, Los Angeles, CA 90089-0067 | 2013-12-20 |
| 1639505993 | Jennifer Nichols | Speech-Language Pathologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2013-09-18 |
| 1790028801 | Jennifer Lauren Nichols | Psychiatry & Neurology | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1222 | 2013-03-27 |
| 1003960451 | Jennifer A. Nichols | Dentist | 756 N College St, Harrodsburg, KY 40330-1019 | 2007-01-23 |
| 1871131482 | Jennifer A Nichols | Counselor | 200 Mason St Ste 11, Onalaska, WI 54650-7061 | 2019-12-13 |
| 1447757976 | Jennifer Nichols | Social Worker | 2000 East Lamar Blvd, Suite 500, Arlington, TX 76006 | 2018-04-11 |
| 1083118939 | Jennifer Marie Nichols | Student in an Organized Health Care Education/Training Program | 110 S Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 | 2018-03-23 |
| 1740726017 | Jennifer Nichols | Nurse Practitioner | 600 Haverford Rd, Haverford, PA 19041-1139 | 2017-01-11 |
| Street Address |
15410 HEINTZ AVE SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1811558505 | Allison R Rykse | Massage Therapist | 1358 Hollywood Dr, Monroe, MI 48162-3024 | 2019-06-24 |
| 1336604792 | Christopher Ehrman | Massage Therapist | 808 N 31st St Ste D, Monroe, LA 71201-3942 | 2019-02-09 |
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1558830448 | Lilith Macgregor Deveigh Krueger | Massage Therapist | 118 N Lewis St Ste 111, Monroe, WA 98272-1516 | 2018-11-20 |
| 1780175885 | Sky Valley Wellness, LLC | Massage Therapist | 14751 N Kelsey St Ste 110, Monroe, WA 98272-1457 | 2018-05-24 |
| 1700397452 | Meagen Michelle Mckelvey | Massage Therapist | 1129 W Main St Ste 172, Monroe, WA 98272-2034 | 2017-10-21 |
| 1033637749 | Margaret Griffin | Massage Therapist | 16405 234th St Se, Monroe, WA 98272-9827 | 2017-09-01 |
| 1437685740 | Holly Cramner | Massage Therapist | 111 E 1st St Ste 500, Monroe, MI 48161-2265 | 2017-05-05 |
| 1558806109 | Michelle Stupay | Massage Therapist | 261 E Fremont St, Monroe, WA 98272-2335 | 2017-01-05 |
| Find all providers in MONROE | ||||
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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.