NICOLE TAYLOR WHITE (NPI# 1902318165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902318165 |
| Entity Type | Individual |
| Full Name | NICOLE TAYLOR WHITE |
| Credential | MS, DLLP |
| Practice Address |
3292 N Evergreen Dr Ne Grand Rapids MI 49525-9746 |
| Practice Telephone | 6163658920 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114442589 | Nicole Marie White | Midwife | 3138 Rosa Parks Blvd, Detroit, MI 48216-1218 | 2017-08-07 |
| 1710324082 | Nicole Lee White | Developmental Therapist | 159 Arnett Grove Rd, 159 Arnett Grove Rd., Glasgow, KY 42141-9685 | 2013-05-28 |
| 1740436963 | Nicole A White | Case Manager/Care Coordinator | 1917 Bridgestone Cir, Conyers, GA 30012-3782 | 2008-08-08 |
| 1407015456 | Nicole Marie White | Dentist | 4320 Osage Beach Parkway, Suite A, Osage Beach, MO 65065 | 2008-06-05 |
| 1124249198 | Nicole White | Registered Nurse | 14701 East Exposition Avenue, Aurora, CO 80012 | 2007-05-01 |
| 1861092918 | Nicole White | Behavior Technician | 7529 Standish Pl Ste 355, Derwood, MD 20855-2733 | 2020-10-28 |
| 1922615087 | Nicole L White | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-09-23 |
| 1417562521 | Nicole White | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2020-09-15 |
| 1376153262 | Nicole Leigh White | Nurse Practitioner | 895 City Center Blvd Ste 152, Newport News, VA 23606-3080 | 2020-08-05 |
| 1619514791 | Nicole Taylor White | Physical Medicine & Rehabilitation | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2019-12-08 |
| Street Address |
3292 N EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992943757 | Carrie Zinser | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525 | 2009-01-30 |
| 1144854290 | Stefany Tucker | Behavioral Analyst | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-27 |
| 1922630789 | Katherine Shannon | Psychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-10 |
| 1598397341 | Kelly Cramer | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-10 |
| 1144851452 | Sean Crowell | Occupational Therapist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-01-27 |
| 1295297240 | Brianna Kuhatschek | Behavioral Analyst | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2019-04-01 |
| 1043786023 | Renee Orr | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-10-17 |
| 1346725850 | Bailey Palladino | Occupational Therapist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-10-01 |
| 1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
| 1932605557 | Sarah Wright | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1861686784 | Lauren Elizabeth Spoon | Clinical Neuropsychologist | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2007-09-04 |
| 1538287495 | James Bernard De Boe | Clinical Neuropsychologist | 4131 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2007-03-27 |
| 1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
| 1477663599 | Don Allen Boyd | Clinical Neuropsychologist | 3300 Burton St Se Ste B, Grand Rapids, MI 49546-4398 | 2006-08-30 |
| 1598705675 | Thomas Charles Fuller | Clinical Neuropsychologist | 161 Ottawa Nw, Ste 300c, Grand Rapids, MI 49503-2707 | 2006-06-07 |
| 1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
| 1144717604 | Jaclyn Reckow | Clinical Neuropsychologist | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2018-04-19 |
| 1184172496 | Jesse J Piehl | Clinical Neuropsychologist | 3292 Evergreen Dr Ne, Grand Rapids, MI 49525-9580 | 2016-09-15 |
| 1144678020 | Alicia Beth Vanden Bussche Jantz | Clinical Neuropsychologist | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2016-06-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on NICOLE TAYLOR WHITE.
| 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.