MICHELLE D NICHOLAS (NPI# 1942496922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942496922 |
| Entity Type | Individual |
| Full Name | MICHELLE D NICHOLAS |
| Credential | P.A. |
| Practice Address |
100 Memorial Hospital Dr Suite 3a Mobile AL 36608-1183 |
| Practice Telephone | 2513422641 |
| Practice Fax Number | 2513439507 |
| Mailing Telephone | 2513422641 |
| Mailing Fax Number | 2513439507 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2010-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA550 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 051545351 | 01 |
| AL | 009914168 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164726 | Michelle Nicholas | Social Worker | 4126 Telegraph Ave., Oakand, CA 94609-2406 | 2006-06-18 |
| 1730132903 | Michelle Marie Nicholas | Nurse Practitioner | 450 S Washington St, Suite C, Gettysburg, PA 17325-2500 | 2006-05-18 |
| Street Address |
100 MEMORIAL HOSPITAL DR SUITE 3A |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517769 | Mark Richard Gacek | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2005-06-09 |
| 1770925471 | Larry Michael Oliver II | Nurse Practitioner | 100 Memorial Hospital Dr, 1-a, Mobile, AL 36608-1183 | 2013-07-23 |
| 1396189528 | Melanie March Tims | Nurse Practitioner | 100 Memorial Hospital Dr, Annex Building, Suite 3-b, Mobile, AL 36608-1183 | 2013-04-18 |
| 1932449451 | Gacek Ear and Sinus Center LLC | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2013-02-20 |
| 1437456050 | Shawna Michelle Reich | Nurse Practitioner | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2011-02-16 |
| 1093048332 | Jimmie Council Blan | Physician Assistant | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2009-09-17 |
| 1528291861 | Kristin Oakes Tomlinson | Nurse Practitioner | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2009-09-03 |
| 1306019831 | Springhill Behavioral Health Inc. | Counselor | 100 Memorial Hospital Dr, 1-b, Mobile, AL 36608-1183 | 2008-04-04 |
| 1306039912 | Catherine Merritt Shaw | Occupational Therapist | 100 Memorial Hospital Dr, Suite 1-c, Mobile, AL 36608-1183 | 2007-08-27 |
| 1881890739 | Wiley Jacob Christian IIi | Physical Therapist | 100 Memorial Hospital Dr, Suite 1-c Springhill Medical Center, Mobile, AL 36608 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1831191113 | Oliver Laurence Ezell | Physician Assistant | 1504 Springhill Ave, Ste 1365, Mobile, AL 36604-3207 | 2005-06-01 |
| 1144749821 | Angela Michele Martinsen | Physician Assistant | 75 S University Blvd, Ucom 6000b, Mobile, AL 36608 | 2017-09-14 |
| 1811448129 | Joshua Glen Pyeatt | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-10-21 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1396142717 | Casey N Byrnes | Physician Assistant | 4638 Bit and Spur Rd, Mobile, AL 36608-2646 | 2014-12-01 |
| 1194026815 | Harmony Brogden Paschal | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2010-11-11 |
| 1861792863 | Brianne Elizabeth Kestler | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2010-10-25 |
| 1699083501 | Dana L Culpepper | Physician Assistant | 4310 Old Shell Rd, Suite D, Mobile, AL 36608-2049 | 2010-09-14 |
| Find all providers in MOBILE | ||||
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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.