NICOLE A MORTIER (NPI# 1912955352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912955352 |
| Entity Type | Individual |
| Full Name | NICOLE A MORTIER |
| Credential | PA |
| Practice Address |
332 N Lauderdale St Memphis TN 38105-2794 |
| Practice Telephone | 9014953006 |
| Practice Fax Number | 9014953842 |
| Mailing Telephone | 9014953006 |
| Mailing Fax Number | 9014953842 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1173 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
332 N LAUDERDALE ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710376 | Carla London | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2005-09-14 |
| 1356518237 | Lindsay Margaret Chapman | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2008-05-10 |
| 1932322989 | David Perry Roberge | Radiology | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2007-04-10 |
| 1487602132 | William H. Schultz | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1609853332 | Tracy L Kaluzny | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1427035153 | Marion L Donohoe | Nurse Practitioner | 332 N Lauderdale St, Ms 600, Memphis, TN 38105-2729 | 2005-12-23 |
| 1972580603 | Vicki S Frederick | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1962489609 | Myra T Hazard | Nurse Practitioner | 332 N Lauderdale St, Ms 735, Memphis, TN 38105-2794 | 2005-12-23 |
| 1417934167 | Vanessa C Howard | Nurse Practitioner | 332 N Lauderdale St, Ms 351, Memphis, TN 38105-2729 | 2005-12-23 |
| 1174500854 | Phyllis J Pollard | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
| 1184091407 | Melissa Ball Foner | Physician Assistant | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2015-08-24 |
| 1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
| 1043445380 | Mary Boland Hamilton | Physician Assistant | 80 Humphreys Suite 230, Memphis, TN 38117 | 2009-05-15 |
| 1548418767 | Amy Bolt Miller | Physician Assistant | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2008-08-29 |
| 1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
| 1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
| 1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
| 1548895568 | Sina Nezakat | Physician Assistant | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2020-03-10 |
| 1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
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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.