STEPHANIE MARIE NICHOLS (NPI# 1750695649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750695649 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE NICHOLS |
| Credential | CNP |
| Practice Address |
770 Jasonway Ave Suite 1a Columbus OH 43214-4333 |
| Practice Telephone | 6144592950 |
| Practice Fax Number | 6144592975 |
| Mailing Telephone | 6144592950 |
| Mailing Fax Number | 6144592975 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.11664 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3102038 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772944 | Stephanie Brianna Noelle Nichols | Speech-Language Pathologist | 26 Milford Ln Apt E, Suffern, NY 10901-7944 | 2020-05-19 |
| 1174023451 | Stephanie Nichols | Acupuncturist | 1450 W Guadalupe Rd Ste 115, Gilbert, AZ 85233-3055 | 2018-02-13 |
| 1619041076 | Stephanie Marie Nichols | Dentist | 4259 Robert C. Byrd Dr, Beckley, WV 25801 | 2006-11-20 |
| 1720626724 | Stephanie Renee Nichols | Case Manager/Care Coordinator | 1757 W C St, Torrington, WY 82240-3215 | 2019-12-20 |
| 1821561366 | Stephanie Elizabeth Nichols | Student in an Organized Health Care Education/Training Program | 195 W 7200 S, Midvale, UT 84047-3703 | 2019-01-08 |
| 1134612633 | Stephanie Nichols | Pharmacist | 22 Bramhall St, Portland, ME 04102-3175 | 2018-06-08 |
| 1952768418 | Stephanie Maclean Nichols | Nurse Practitioner | 619 19th St S, Department of Emergency Medicine, Birmingham, AL 35233-1900 | 2016-01-27 |
| 1053704072 | Stephanie Blackett Nichols | Social Worker | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2015-03-16 |
| 1861820821 | Stephanie Nichols | Speech-Language Pathologist | 300 Sw 7th St, Renton, WA 98057-2307 | 2013-10-29 |
| 1891070546 | Stephanie Nichols | Psychologist | 96 5th Ave, 1k, New York, NY 10011-7605 | 2011-10-13 |
| Street Address |
770 JASONWAY AVE SUITE 1A |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-4333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628869 | Diana M Donati | Internal Medicine | 770 Jasonway Ave, Suite G-2, Columbus, OH 43214-4333 | 2005-06-09 |
| 1508218413 | Taryn Gehlert | Dentist | 770 Jasonway Ave, Columbus, OH 43214-4333 | 2016-07-05 |
| 1316226426 | Mary Beth Frey | Nurse Practitioner | 770 Jasonway Ave, Suite 1b, Columbus, OH 43214-4333 | 2011-08-07 |
| 1639306897 | Madiha Raina | Internal Medicine | 770 Jasonway Ave, Ste 1b, Columbus, OH 43214-4333 | 2009-06-16 |
| 1154590388 | Richard W Bowen | Dentist | 770 Jasonway Ave, Columbus, OH 43214 | 2008-02-21 |
| 1043405194 | David S Han | Dentist | 770 Jasonway Ave, Suite 2-a, Columbus, OH 43214-4333 | 2007-09-12 |
| 1659321453 | Amy R Kelley | Internal Medicine | 770 Jasonway Ave, Suite 1-a, Columbus, OH 43214-4333 | 2006-05-11 |
| 1205811874 | David H Sharkis | Internal Medicine | 770 Jasonway Ave, Suite G-2, Columbus, OH 43214-4333 | 2005-12-07 |
| 1457335358 | David R Neiger | Internal Medicine | 770 Jasonway Ave, Suite G-2, Columbus, OH 43214-4333 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.