NICOLE MARIE HARVEY (NPI# 1730520008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730520008 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE HARVEY |
| Other Name | NICOLE MARIE LEPINSKI |
| Credential | PA-C |
| Practice Address |
4786 Banning Ave White Bear Lake MN 55110-3264 |
| Mailing Address |
2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 |
| Practice Telephone | 6514266402 |
| Practice Fax Number | 6514293402 |
| Mailing Telephone | 6517721572 |
| Mailing Fax Number | 6517721889 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11398 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144760323 | Nicole Harvey | Licensed Practical Nurse | 11734 N 15th St Apt 11, Tampa, FL 33612-5422 | 2017-03-07 |
| 1447894456 | Nicole M Harvey | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-11-01 |
| 1184276834 | Nicole Harvey | Social Worker | 6999 Reisterstown Rd Ste 4, Baltimore, MD 21215-1492 | 2019-07-12 |
| 1528527918 | Nicole Marie Harvey | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-03-15 |
| 1306361498 | Nicole Marie Harvey | Physician Assistant | 1040 Delaware Ave, Marion, OH 43302-6416 | 2017-08-09 |
| Street Address |
4786 BANNING AVE |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831141886 | Ann M Barry | Family Medicine | 4786 Banning Ave, White Bear Lake, MN 55110 | 2006-05-17 |
| 1346713476 | Maria Elizabeth Cook | Physician Assistant | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2019-01-11 |
| 1982077061 | Nicole Altstatt | Nurse Practitioner | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2015-11-11 |
| 1366751562 | Minnesota Institute for Pain Management, LLC | Physical Medicine & Rehabilitation | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2010-10-05 |
| 1356668123 | Stacy Marie Smith | Physician Assistant | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2010-05-03 |
| 1639359359 | Family Healthservices Minnesota, P.a. | Family Medicine | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2007-11-09 |
| 1871710988 | Minnhealth Family Physicians, P.a. | Family Medicine | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2007-04-19 |
| 1720120645 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2007-02-14 |
| 1972510634 | David C Thorson | Family Medicine | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2006-08-02 |
| 1063428746 | Carol K Stark | Family Medicine | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713476 | Maria Elizabeth Cook | Physician Assistant | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2019-01-11 |
| 1578921714 | Sarah Slattery | Physician Assistant | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | 2016-02-02 |
| 1356668123 | Stacy Marie Smith | Physician Assistant | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2010-05-03 |
| 1053411157 | Rosalynn Vertiz-hackett | Physician Assistant | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2006-09-25 |
| 1023025566 | Roger K Koopman | Physician Assistant | 2730 County Road E E, White Bear Lake, MN 55110-4963 | 2006-08-01 |
| 1184691115 | Cherida Irene Mccall | Physician Assistant | 1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110-7693 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
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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.