NICOLE ANN SPALL (NPI# 1780167809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780167809 |
| Entity Type | Individual |
| Full Name | NICOLE ANN SPALL |
| Credential | APRN-BC |
| Practice Address |
1000 E Tarpon Ave Tarpon Springs FL 34689-5438 |
| Mailing Address |
12112 Knoll St Tampa FL 33612-4011 |
| Practice Telephone | 7279374203 |
| Mailing Telephone | 8138574200 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9287830 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5332 Avion Park Dr, Tampa, FL 336071412 | 8133927622 |
| Street Address |
1000 E TARPON AVE |
| City | TARPON SPRINGS |
| State | FL |
| Zip Code | 34689-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063516045 | Holiday Cvs LLC | Pharmacy | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2006-09-12 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1518150705 | Jennifer Harris | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2007-08-22 |
| 1922194653 | Michael Robert Magner | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013408376 | Eleni D Papanou | Behavioral Analyst | 531 Maragos St., Tarpon Springs, FL 34689 | 2018-05-22 |
| 1366932220 | Scott A Earnhardt | Contractor | 1810 S. Pinellas Ave, Suite L, Tarpon Springs, FL 34689 | 2018-05-16 |
| 1104323211 | Withall & Associates Consulting, Inc. | Durable Medical Equipment & Medical Supplies | 1810 S Pinellas Ave Ste G, Tarpon Springs, FL 34689 | 2018-04-06 |
| 1659801553 | Ekaterina Carvajal Debello | Optometrist | 1965 Anclote Vista, Tarpon Springs, FL 34689 | 2017-06-14 |
| 1669921359 | Jennifer Vacco | Specialist | 612 E. Spruce Street, Tarpon Springs, FL 34689 | 2016-09-23 |
| 1497140412 | Jacobson Ma | Dentist | 40545 Us Highway 19 N Ste G, Tarpon Springs, FL 34689 | 2015-04-06 |
| 1326439613 | Joell Whitmer | Pharmacist | 1171 S Pinellas Ave, Tarpon Springs, FL 34689 | 2015-02-09 |
| 1891086351 | Carol J Chamberlain | Registered Nurse | 412 Moonings Cove Drive, Tarpon, FL 34689 | 2011-05-02 |
| 1649593179 | Annalice LLC | Pharmacy | 1992 Alt Us Highway 19, Tarpon Springs, FL 34689 | 2010-03-11 |
| 1023284270 | Am Pharma LLC | Pharmacy | 1933 Through 1935 N Pinellas Ave, Tarpon Springs, FL 34689 | 2008-05-07 |
| Find all providers in zip 34689 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305447 | Heather Marie Hopkins | Nurse Practitioner | 1008 Jamaica Way, Tarpon Springs, FL 34689-2807 | 2020-08-07 |
| 1366988511 | Kalliope D Smalios | Nurse Practitioner | 806 Gulf Rd, Tarpon Springs, FL 34689-2528 | 2017-01-12 |
| 1679524474 | Wendy Paracka | Nurse Practitioner | 1200 S Pinellas Ave Ste 11, Tarpon Springs, FL 34689-3716 | 2006-05-15 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1447801972 | Tara Ross | Nurse Practitioner | 1200 S Pinellas Ave Ste 11, Tarpon Springs, FL 34689-3716 | 2019-09-25 |
| 1710431770 | Tiffany Marie Apana | Nurse Practitioner | 1395 S Pinellas Ave, Tarpon Springs, FL 34689-3790 | 2016-08-08 |
| 1376938308 | Marcia Gainer | Nurse Practitioner | 247 S Huey Ave, Tarpon Springs, FL 34689-4205 | 2015-04-06 |
| 1316337769 | Deborah A Triglia | Nurse Practitioner | 1259 S Pinellas Ave, Tarpon Springs, FL 34689-3719 | 2015-01-23 |
| 1326444845 | Loan Nolan | Nurse Practitioner | 301 S Disston Ave, Tarpon Springs, FL 34689-4411 | 2014-11-11 |
| 1336557347 | Rachel Bennett | Nurse Practitioner | 638 E Tarpon Ave, Tarpon Springs, FL 34689-4202 | 2014-07-23 |
| Find all providers in TARPON SPRINGS | ||||
| City | TARPON SPRINGS |
| Zip Code | 34689 |
Please comment or provide details below to improve the information on NICOLE ANN SPALL.
| 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.