NICOLE BORT (NPI# 1811368053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811368053 |
| Entity Type | Individual |
| Full Name | NICOLE BORT |
| Credential | NP |
| Practice Address |
26908 Detroit Rd Ste 103 Westlake OH 44145-2399 |
| Practice Telephone | 4402490274 |
| Practice Fax Number | 4408085969 |
| Mailing Telephone | 4402490274 |
| Mailing Fax Number | 4408085969 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA.18014NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | COA.18014NP | 01 |
| Street Address |
26908 DETROIT RD STE 103 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577664 | Valerie A Dailey | Physician Assistant | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2006-04-12 |
| 1730550989 | Mary Gallagher | Nurse Practitioner | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2015-10-14 |
| 1962872119 | Julie Elizabeth Diegelmann | Physician Assistant | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2015-09-30 |
| 1043605173 | Mihir Minesh Shah | Dermatology | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2015-04-06 |
| 1417976960 | Darla J Hadden | Physician Assistant | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814231 | Kara Maria Krupa | Nurse Practitioner | 15781 Goldfinch Cir, Westlake, FL 33470-7004 | 2020-09-03 |
| 1780170282 | Halle Smolinski | Nurse Practitioner | 1991 Crocker Rd Ste 310, Westlake, OH 44145-6971 | 2018-07-08 |
| 1255835047 | Rachel Michelle Hoffer | Nurse Practitioner | 805 Columbia Rd Ste 109, Westlake, OH 44145-1461 | 2018-03-19 |
| 1942441183 | Qiong-mei Ngo | Nurse Practitioner | 25059 Wildwood Dr, Westlake, OH 44145-4976 | 2009-03-18 |
| 1831359967 | Elderhood Community Services | Nurse Practitioner | 2116 Dover Center Rd, Westlake, OH 44145-3154 | 2008-06-12 |
| 1982631693 | Deborah Anne Murdell | Nurse Practitioner | 29327 Buckthorn Pl, Westlake, OH 44145-2971 | 2006-06-27 |
| 1720638778 | Amerilyn Hernandez Ochoa | Nurse Practitioner | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2019-09-11 |
| 1558825653 | Nicole Bartos | Nurse Practitioner | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2019-01-23 |
| 1437600533 | Kara Rambasek | Nurse Practitioner | 850 Columbia Rd Ste 200, Westlake, OH 44145 | 2016-10-24 |
| 1730550989 | Mary Gallagher | Nurse Practitioner | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2015-10-14 |
| Find all providers in WESTLAKE | ||||
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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.