CHRISTINE NDUNGE NIKOLIC (NPI# 1760482574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760482574 |
| Entity Type | Individual |
| Full Name | CHRISTINE NDUNGE NIKOLIC |
| Credential | NP-C |
| Practice Address |
6116 E. Arbor Ave Suite 112 Mesa AZ 85206 |
| Practice Telephone | 4806415400 |
| Practice Fax Number | 4802184353 |
| Mailing Telephone | 4806415400 |
| Mailing Fax Number | 4802184353 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN121750 | AZ | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP1691 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P00418321 | 01 |
| AZ | SUN HEALTH GROUP # | WCSKQ | 01 |
| AZ | 836356 | 05 | |
| AZ | RAILROAD MEDICARE | P00150020 | 01 |
| Street Address |
6116 E. ARBOR AVE SUITE 112 |
| City | MESA |
| State | AZ |
| Zip Code | 85206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003987033 | Lewis H. Freed Dpm PC | Podiatrist | 6116 E. Arbor Ave, Suite 118, Mesa, AZ 85206 | 2006-11-13 |
| 1942393004 | Suzanne A. Sorof | Internal Medicine | 6116 E. Arbor Ave, Ste. 112, Mesa, AZ 85206 | 2006-10-02 |
| 1629023411 | Panagiotis Panotopoulos | Internal Medicine | 6116 E. Arbor Ave, Ste 112, Mesa, AZ 85206 | 2006-05-23 |
| 1164483210 | Scott Wyant | Podiatrist | 6116 E. Arbor Ave, Suite 118, Mesa, AZ 85206-5235 | 2006-03-29 |
| 1952362253 | Todd Gunzy | Podiatrist | 6116 E. Arbor Ave, Suite 118, Mesa, AZ 85206-5235 | 2006-03-28 |
| 1154399343 | Andrew J. Kaplan | Internal Medicine | 6116 E. Arbor Ave, Ste. 112, Mesa, AZ 85206 | 2006-03-14 |
| 1215923750 | Douglas Griffin | Podiatrist | 6116 E. Arbor Ave, Suite 118, Mesa, AZ 85206-5235 | 2005-09-20 |
| 1598751026 | Todd B Haddon | Podiatrist | 6116 E. Arbor Ave, Suite 118, Mesa, AZ 85206-5235 | 2005-09-20 |
| 1407842941 | Lewis H Freed | Podiatrist | 6116 E. Arbor Ave, Suite 118, Mesa, AZ 85206-5235 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| 1023489192 | Janine Hope Altobelli | Nurse Practitioner | 6840 E Brown Rd Ste 101, Mesa, AZ 85207-3759 | 2015-10-14 |
| 1205144946 | Jonna O Anderson | Nurse Practitioner | 1106 N Gilbert Rd Ste 2, Pmb188, Mesa, AZ 85203-5143 | 2010-09-15 |
| 1538476072 | Manuela Vital | Nurse Practitioner | 6859 E. Rembrandt Ave, Suite 117, Mesa, AZ 85212-3630 | 2010-09-03 |
| 1538200530 | Karen Kay Ballard | Nurse Practitioner | 1710 W. Southern Ave, Concentra - Mesa, Mesa, AZ 85034 | 2007-02-11 |
| 1083703045 | Joellen Beard Embry | Nurse Practitioner | 2204 S Dobson Rd Ste 203, Mesa, AZ 85202 | 2006-10-11 |
| 1487637906 | Pamela L Morris | Nurse Practitioner | 7214 E Avesta Cir, Mesa, AZ 85208-1128 | 2005-11-29 |
| 1255336905 | Julie A Stott | Nurse Practitioner | 7254 E Southern Ave, Ste. 105, Mesa, AZ 85209-1817 | 2005-06-18 |
| 1477012045 | Sleepwerx, LLC | Nurse Practitioner | 3514 N Power Rd Ste 127, Mesa, AZ 85215-2911 | 2019-03-13 |
| 1821441718 | Amy Kleinhans | Nurse Practitioner | 6750 E Baywood Ave, Suite 301, Mesa, AZ 85206-1749 | 2016-07-15 |
| Find all providers in MESA | ||||
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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.