NICOLE MCCOLLUM (NPI# 1770026247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770026247 |
| Entity Type | Individual |
| Full Name | NICOLE MCCOLLUM |
| Practice Address |
5565 Gyddie Dr Winston Salem NC 27105-9606 |
| Practice Telephone | 3368174311 |
| Mailing Telephone | 3368174311 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763921 | Nicole K Mccollum | Homemaker | 1110 Egan Ct Apt 4, Cincinnati, OH 45229-1155 | 2020-03-03 |
| 1699024414 | Nicole Louise Mccollum | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2012-09-07 |
| Street Address |
5565 GYDDIE DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
| 1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
| 1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
| 1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
| 1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
| 1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
| 1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
| Find all providers in zip 27105 | ||||
| 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 |
|---|---|---|---|---|
| 1265047633 | Andrew Brandon Duggins | Massage Therapist | 4020 Yarbrough Ave, Winston Salem, NC 27106-1642 | 2020-09-12 |
| 1659985869 | Christiana Elisa Owens | Massage Therapist | 152 Surtees Rd, Winston Salem, NC 27104-2635 | 2020-09-04 |
| 1083235519 | Elizabeth Ashley Holdren | Massage Therapist | 1020 Brookstown Ave Ste 11, Winston Salem, NC 27101-2539 | 2020-05-06 |
| 1356974778 | Brent W Deskins | Massage Therapist | 2800 Hermitage Dr, Winston Salem, NC 27103-4206 | 2020-02-13 |
| 1083252662 | Amy Lyn Bofenkamp | Massage Therapist | 517 Brookridge Dr, Winston Salem, NC 27103-6104 | 2019-12-14 |
| 1659930014 | Nathifa Campbell | Massage Therapist | 1008 Brookstown Ave Ste C7, Winston Salem, NC 27101-2562 | 2019-06-10 |
| 1548789480 | Curtis Ebray Edmunds Jr. | Massage Therapist | 2714 Henning Dr Ste 1, Winston Salem, NC 27106-4502 | 2017-09-12 |
| 1649571043 | Jessica Graf | Massage Therapist | 614 S Hawthorne Rd, Winston Salem, NC 27103-3718 | 2010-11-16 |
| 1407047517 | Thomas Michael Joyce Jr. | Massage Therapist | 217 Olde Vineyard Ct, Winston Salem, NC 27104-4932 | 2007-08-05 |
| 1205477171 | Nicola Roach | Massage Therapist | 1012 Brookstown Ave, Winston Salem, NC 27101-2523 | 2019-10-02 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27105 |
Please comment or provide details below to improve the information on NICOLE MCCOLLUM.
| 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.