MRS. NICOLE MARIE SOPTELEAN (NPI# 1912410903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912410903 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE SOPTELEAN |
| Credential | FNP-C |
| Practice Address |
3600 Kolbe Rd Ste 205 Lorain OH 44053 |
| Mailing Address |
1957 Cooper Foster Park Rd Amherst OH 44001-1207 |
| Practice Telephone | 4409604416 |
| Practice Fax Number | 4409604417 |
| Mailing Telephone | 4409881014 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022055 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0275555 | 05 | |
| OH | 3025372 | 05 |
| Street Address |
3600 KOLBE RD STE 205 |
| City | LORAIN |
| State | OH |
| Zip Code | 44053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485510 | Timothy Patrick O'donnell | Surgery | 3600 Kolbe Rd Ste 205, Lorain, OH 44053 | 2005-05-24 |
| 1457836405 | Jennifer Anne Mize | Nurse Practitioner | 3600 Kolbe Rd Ste 205, Lorain, OH 44053-1677 | 2018-09-26 |
| 1669640165 | Hicham Khallafi | Internal Medicine | 3600 Kolbe Rd Ste 205, Lorain, OH 44053-1677 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525924 | Kurt Joseph Schreiber | Nurse Practitioner | 4356 Jenee Dr, Lorain, OH 44053-4410 | 2020-07-07 |
| 1285273938 | Carol Lynn Nagel | Nurse Practitioner | 3600 Kolbe Road Suite 127, Lorain, OH 44053-1694 | 2019-12-29 |
| 1235618372 | Audra Zayas | Nurse Practitioner | 4340 Leavitt Rd, Lorain, OH 44053-2386 | 2018-08-09 |
| 1235665803 | Amber Hollingsworth | Nurse Practitioner | 4292 Santina Way, Lorain, OH 44053-2194 | 2017-05-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1831569078 | Lisa D Kisaberth | Nurse Practitioner | 4340 Leavitt Rd Ste D, Lorain, OH 44053-2386 | 2015-09-30 |
| 1831568658 | Kelli M. Pittak | Nurse Practitioner | 3600 Kolbe Rd Ste 106, Lorain, OH 44053-1652 | 2015-09-22 |
| 1952651721 | Dewanda Porter | Nurse Practitioner | 3288 Oberlin Ave # Oh005, Lorain, OH 44053-2752 | 2012-09-19 |
| 1124303946 | Ann Lise Scarbrough | Nurse Practitioner | 3288 Oberlin Ave, Lorain, OH 44053-2752 | 2011-10-12 |
| 1578103586 | Kirsten Ingrid Marshall | Nurse Practitioner | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2020-01-08 |
| Find all providers in LORAIN | ||||
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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.