MS. CORA SUE NICKEL (NPI# 1881893014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881893014 |
| Entity Type | Individual |
| Full Name | MS. CORA SUE NICKEL |
| Credential | O.T. |
| Practice Address |
12045 Se Stanley Ave Milwaukie OR 97222-2938 |
| Mailing Address |
17425 Wake Robin Cir Oregon City OR 97045-4504 |
| Practice Telephone | 5036592323 |
| Mailing Telephone | 5037429931 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | 497990 | OR | Nursing Service Related Providers |
| Street Address |
12045 SE STANLEY AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568509966 | Milwaukie Convalescent Hospital Inc | Nursing Facility/Intermediate Care Facility | 12045 Se Stanley Ave, Milwaukie, OR 97222 | 2007-02-01 |
| 1639693021 | Anna Stabio | Occupational Therapist | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2017-07-27 |
| 1629529532 | Elizabeth Martino | Physical Therapist | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2016-10-17 |
| 1659724979 | Kelsey Jeter | Occupational Therapy Assistant | 12045 Se Stanley Ave, Milwaukie, OR 97222 | 2016-07-21 |
| 1225499973 | Jens Frojen | Speech-Language Pathologist | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2016-03-09 |
| 1417322017 | Mary Aguilar | Community Health Worker | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2015-12-08 |
| 1205204609 | Care Center (milwaukie) Inc. | Skilled Nursing Facility | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2015-09-02 |
| 1588063366 | Brenda Jacob | Physical Therapy Assistant | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2014-08-18 |
| 1861815789 | April Yahna | Occupational Therapist | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2014-01-28 |
| 1770742868 | Kathleen Sue Ugelstad | Occupational Therapist | 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692041 | Heidi Renoud | Day Training/Habilitation Specialist | 5050 Columbus St Se Unit 63, Albany, OR 97322-8017 | 2020-06-01 |
| 1033745724 | Sheryl Ann Swaisgood | Day Training/Habilitation Specialist | 754 W 4th Ave, Eugene, OR 97402-5025 | 2020-03-13 |
| 1144778432 | Linda Louise Lawson | Day Training/Habilitation Specialist | 115 10th Ave, Apt 8, Seaside, OR 97138-6237 | 2016-09-14 |
| 1437301165 | Gabriel Elihue Denison | Day Training/Habilitation Specialist | 17217 Kent Rd, Sisters, OR 97759-9301 | 2008-10-13 |
| 1790397818 | Connor O'shea | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-08-19 |
| 1578198867 | Hannah Grace Vaughan | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-03-06 |
| 1306485446 | Ian Henderson | Day Training/Habilitation Specialist | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-01-06 |
| 1376186262 | Paige Mendoza | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2019-10-23 |
| 1962967042 | Nicole Lynn Herzog | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2019-02-04 |
| 1538631692 | Nicole Skye Shockley | Day Training/Habilitation Specialist | 625 Ne Galloway St, Mcminnville, OR 97128-3933 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
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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.