NICOLE JANE HARRIS (NPI# 1730729336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730729336 |
| Entity Type | Individual |
| Full Name | NICOLE JANE HARRIS |
| Practice Address |
7343 Lake St River Forest IL 60305-2206 |
| Practice Telephone | 7082318980 |
| Mailing Telephone | 7082318980 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020788 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497257562 | Nicole Harris | Licensed Practical Nurse | 419 E Miller St, Newark, NY 14513-1563 | 2018-03-06 |
| 1184123523 | Nicole Allenia Harris | Dietitian, Registered | 9910 Huebner Rd Ste 250, San Antonio, TX 78240-1375 | 2018-02-11 |
| 1588172738 | Nicole Harris | Licensed Practical Nurse | 19716 Voiland St, Roseville, MI 48066-1193 | 2018-01-22 |
| 1508376070 | Nicole Janelle Harris | Social Worker | 31078 Hoover Rd, Warren, MI 48093 | 2017-10-10 |
| 1063959583 | Nicole Harris | Behavior Technician | 88 Roosevelt Ave, #205, Carteret, NJ 07008-2582 | 2017-01-23 |
| 1275809360 | Nicole J Harris | Social Worker | 5951 Fairington Farms Ln, Lithonia, GA 30038-1545 | 2012-03-22 |
| 1306116504 | Nicole Harris | Massage Therapist | 13606 58th St Se, Snohomish, WA 98290-9403 | 2012-01-04 |
| 1700077591 | Nicole Blackwelder Harris | Pharmacist | 4305 Back Creek Church Rd, Charlotte, NC 28213-5249 | 2007-08-06 |
| 1053930453 | Nicole Harris | Behavior Technician | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2020-04-15 |
| 1780243691 | Nicole Harris | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2019-06-13 |
| Street Address |
7343 LAKE ST |
| City | RIVER FOREST |
| State | IL |
| Zip Code | 60305-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
| 1588225502 | Midwest Express Care 2, Inc | Clinic/Center | 7343 Lake St, River Forest, IL 60305-2206 | 2019-06-21 |
| 1174012454 | Nicole Fitzgerald | Nurse Practitioner | 7343 Lake St, River Forest, IL 60305 | 2018-05-02 |
| 1659882736 | Shannon Rose Lewis | Nurse Practitioner | 7343 Lake St, River Forest, IL 60305 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
| 1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
| 1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
| 1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
| 1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
| 1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
| 1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
| 1407994213 | Fred M Tomera | Urology | 7579 W Lake St, River Forest, IL 60305 | 2007-02-02 |
| Find all providers in zip 60305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
| 1730296450 | Amy Kosnar-parker | Nurse Practitioner | 7251 West Lake Street, River Forest, IL 60305 | 2006-08-25 |
| 1174012454 | Nicole Fitzgerald | Nurse Practitioner | 7343 Lake St, River Forest, IL 60305 | 2018-05-02 |
| 1659882736 | Shannon Rose Lewis | Nurse Practitioner | 7343 Lake St, River Forest, IL 60305 | 2017-10-17 |
| 1922547843 | Lyndsey Perreault | Nurse Practitioner | 7251 Lake St, River Forest, IL 60305-2238 | 2017-02-13 |
| 1659739357 | Jeanna Carlson | Nurse Practitioner | 7900 Division St, River Forest, IL 60305-1066 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | RIVER FOREST |
| Zip Code | 60305 |
Please comment or provide details below to improve the information on NICOLE JANE HARRIS.
| 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.