NICOLE E FLYNN (NPI# 1952689747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952689747 |
| Entity Type | Individual |
| Full Name | NICOLE E FLYNN |
| Other Name | NICOLE E MARTIN |
| Credential | PA |
| Practice Address |
1 Clara Maass Dr Kiddle Hall Suite 204 Belleville NJ 07109-3550 |
| Mailing Address |
Po Box 708760 Sandy UT 84070-8760 |
| Practice Telephone | 9734502432 |
| Practice Fax Number | 9734502434 |
| Mailing Telephone | 8013529500 |
| Mailing Fax Number | 8013527976 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00240100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031977 | Nicole Michelle Flynn | Social Worker | 1621 114th Ave Se Ste 224, Bellevue, WA 98004-6905 | 2019-06-10 |
| 1285150128 | Nicole Flynn | Social Worker | 1801 Fox Dr., Champaign, IL 61821 | 2017-08-22 |
| 1013373653 | Nicole Flynn | Physical Therapist | 146 Marple Rd, Broomall, PA 19008-2040 | 2016-01-12 |
| 1982079364 | Nicole Flynn | Specialist/Technologist, Other | 812 Avis Dr, Ann Arbor, MI 48108-9649 | 2015-12-10 |
| 1801285663 | Nicole F. Flynn | Nurse Practitioner | 101 Dudley St, Providence, RI 02905-2401 | 2015-01-16 |
| 1538503230 | Nicole A Flynn | Pharmacist | 240 W Baseline Rd, Pharmacy 3799, Mesa, AZ 85210-6107 | 2013-04-24 |
| 1831366962 | Nicole Flynn | Counselor | 20 Cedar St, Worcester, MA 01609-2520 | 2008-05-08 |
| 1285810978 | Nicole Schimke Flynn | Surgery | 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 | 2008-01-13 |
| 1154337533 | Nicole Flynn | Counselor | 3100 Ne 83rd St, Suite 2500, Kansas City, MO 64119-4400 | 2006-07-31 |
| Street Address |
1 CLARA MAASS DR KIDDLE HALL SUITE 204 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989924 | Mustafa A Abdul-hadi | Internal Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2005-08-16 |
| 1467067736 | Amanda Krieger | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-09-13 |
| 1598376501 | Ademola Adesola Ogunruku | Registered Nurse | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-08-12 |
| 1821618711 | Jamilton B Carlon | Respiratory Therapist, Certified | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-04-20 |
| 1649800814 | Kelsey Ann Vella | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-01-16 |
| 1922649318 | Wendy Cheung | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-10-07 |
| 1952952020 | Kathleen Villarino | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-09-20 |
| 1083261309 | Tatyana Aponte | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-08-21 |
| 1891348462 | Rose Parker | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-07-22 |
| 1629621818 | Gina P Derito | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528506557 | Amber Alicia Mcclure | Physician Assistant | 1710 Shadow Ridge Ct, Apt F, Belleville, IL 62221-3962 | 2017-02-09 |
| 1639527187 | Wadler Fleurina | Physician Assistant | 11650 Belleville Rd #101, Belleville, MI 48111 | 2016-05-25 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| 1134466485 | Corey A Brooks | Physician Assistant | 180 S 3rd St Ste 104, Belleville, IL 62220-1952 | 2013-01-07 |
| 1497037634 | Melissa Hawkins | Physician Assistant | 1 Clara Mass Drive, Wound Center, Belleville, NJ 07109 | 2011-09-14 |
| 1013070440 | Kim C Wrigley | Physician Assistant | 4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 | 2006-12-18 |
| 1801866462 | Irina Polansky | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-25 |
| 1831183334 | Courtney M Mcfarlin | Physician Assistant | 2129 W Main St, Belleville, IL 62226-6666 | 2005-09-12 |
| 1518592203 | Daniela Vetan-zlibut | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-03-03 |
| 1396377289 | Kathryn Cook | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-02-07 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
Please comment or provide details below to improve the information on NICOLE E FLYNN.
| 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.