NICOLE BRODY METCALF


Address: 4880 Thompson Pkwy Ste 116, Johnstown, CO 80534-6409
Phone: 9706198139

NICOLE BRODY METCALF (NPI# 1962885806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962885806
Entity Type Individual
Full Name NICOLE BRODY METCALF
Other Name NICOLE MARIE BRODY
Credential MSN, RN, CPNP
Practice Address 4880 Thompson Pkwy Ste 116
Johnstown
CO 80534-6409
Practice Telephone 9706198139
Mailing Telephone 9706198139
Enumeration Date 2015-07-08
Last Update Date 2015-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
0990902 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4880 THOMPSON PKWY STE 116
City JOHNSTOWN
State CO
Zip Code 80534-6409

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1720069198 Kenneth A Pettine Orthopaedic Surgery 4795 Larimer Parkway, Johnstown, CO 80534 2005-11-10
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922630995 Ashley Ruth Lahman Nurse Practitioner 162 Tartan Dr, Johnstown, CO 80534-7429 2020-02-07
1386209294 Rachel Unruh Nurse Practitioner 4880 Thompson Pkwy # 116, Johnstown, CO 80534-6409 2019-05-06
1699761742 Bradley Scott Callihan Nurse Practitioner 323 Budfield St, Johnstown, PA 15904-3219 2005-09-23
1215480751 Maureen Wroblewski Nurse Practitioner 700 S Perry St, Johnstown Pediatric Health Center, Johnstown, NY 12095-3213 2016-08-02
1427394006 Chelsea L Janisko Nurse Practitioner 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 2012-12-31

Providers in the same taxonomy and state

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1912543778 Lauren Wollenzin Nurse Practitioner 3548 Dexter Ct, Denver, CO 80207-1050 2019-11-26
1083186407 Megan Brady Nurse Practitioner 454 S Lafayette St, Denver, CO 80209-2501 2018-12-24
1093299679 Brittany Michele Nielsen Nurse Practitioner 9141 Grant St Ste 115, Thornton, CO 80229 2018-09-19
1073010922 Amanda Aung Nurse Practitioner 7240 Trione Ln, Fountain, CO 80817-2805 2018-04-08
1245737279 Rebecca A Somershoe Nurse Practitioner 8200 E Belleview Ave Ste 510e, Greenwood Village, CO 80111-2808 2018-04-06
1629596168 Alaina C Vargas Nurse Practitioner 502 Ludwig Drive, Bayfield, CO 81122 2017-09-05
1629592803 Karly Yingst Nurse Practitioner 1516 Morning Glow Dr, Windsor, CO 80550 2017-07-31
1003368150 Jennifer Mack Nurse Practitioner 6179 S Balsam Way Ste 205, Littleton, CO 80123-3093 2016-10-25
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City JOHNSTOWN
Zip Code 80534

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Dataset Information

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.

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