JANET NICKOLAUS (NPI# 1821073081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821073081 |
| Entity Type | Individual |
| Full Name | JANET NICKOLAUS |
| Credential | PMHNP |
| Practice Address |
2300 E Mill Plain Blvd Vancouver WA 98661-4332 |
| Practice Telephone | 3609010170 |
| Practice Fax Number | 3602543552 |
| Mailing Telephone | 3609010170 |
| Mailing Fax Number | 3602543552 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
000039125N6 PMHN | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30004009 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 E MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760507412 | Henry Neil Weber | Psychologist | 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 | 2007-03-20 |
| 1609991793 | Henry N Weber Phd and Judy W Weber Phd Pllc | Psychologist | 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 | 2007-03-20 |
| 1487779120 | Judy Walker Weber | Psychologist | 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423989 | Magnolia Psychiatric Services Pllc | Nurse Practitioner | 10000 Ne 7th Ave Ste 330f, Vancouver, WA 98685-4561 | 2018-10-22 |
| 1811408297 | Tms Nw Pllc | Nurse Practitioner | 5512 Ne 109th Ct Ste N, Vancouver, WA 98662-6175 | 2017-10-12 |
| 1164967246 | Ashley Leinani Bolan | Nurse Practitioner | 601 E 22nd St Ste C, Vancouver, WA 98663-3208 | 2016-12-28 |
| 1023455938 | Adina D Tarpley | Nurse Practitioner | 7210 Ne 14th Ct, Vancouver, WA 98665-0415 | 2013-05-31 |
| 1346428125 | Richard Stuart Keyser | Nurse Practitioner | 3305 Main St Ste 201, Vancouver, WA 98663-2250 | 2008-02-04 |
| 1407981095 | Kim L Carnahan Lewis | Nurse Practitioner | 1601 E Fourth Plain Blvd Bldg 17, Suite B222, Vancouver, WA 98661-3753 | 2007-02-22 |
| 1750318788 | Susan S. Rose | Nurse Practitioner | Legacy Salmon Creek Providers, 2211 Ne 139th Street, Vancouver, WA 98686-2742 | 2006-06-26 |
| 1073572269 | Julie A Dewitt-kamada | Nurse Practitioner | 3208 Ne 141st St, Vancouver, WA 98686-2260 | 2006-03-17 |
| 1285233627 | Kristy Hosley | Nurse Practitioner | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2020-10-17 |
| 1801406020 | Paladin Institute for Psychiatric Services | Nurse Practitioner | 4400 Ne 77th Ave Ste 275, Vancouver, WA 98662-6857 | 2020-08-03 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on JANET NICKOLAUS.
| 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.