MRS. JESSICA L NICHOLS (NPI# 1972776292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972776292 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA L NICHOLS |
| Other Name | JESSICA L BARR |
| Credential | MS, CCC-A |
| Practice Address |
304 Detroit St La Porte IN 46350-2497 |
| Mailing Address |
2022 Kelle Dr Chesterton IN 46304-8708 |
| Practice Telephone | 2193253770 |
| Practice Fax Number | 2193258181 |
| Mailing Telephone | 2193644004 |
| Mailing Fax Number | 2193262584 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 23002292A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200387170 | 05 | |
| IN | ANTHEM | 000000770974 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790232973 | Jessica Nichols | Behavioral Analyst | 571 Morse Memorial Hwy, Olmstedville, NY 12857-1825 | 2016-09-06 |
| 1528320959 | Jessica R Nichols | Optometrist | 1528 Ne 96th St, Suite #a, Liberty, MO 64068-1364 | 2012-06-12 |
| 1457580235 | Jessica Nichols | Nurse Practitioner | 10651 E. Street, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2009-07-14 |
| 1922261866 | Jessica Nichols | Pharmacist | 3501 Forbes Ave Rm 756, Pittsburgh, PA 15213-3317 | 2008-07-09 |
| 1245428812 | Jessica Nichols | Occupational Therapist | 906 Tetbury Pl, Brandon, MS 39047-9274 | 2007-10-09 |
| 1043810336 | Jessica Nichols | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1629695788 | Jessica Paige Nichols | Pharmacist | 2153 E Main St Ste B9, Duncan, SC 29334-8863 | 2020-07-06 |
| 1497318505 | Jessica Nichols | Social Worker | 401 Whitney Ave Ste 135, Gretna, LA 70056-2577 | 2019-04-16 |
| 1487111936 | Jessica Nichols | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-02-20 |
| 1093294167 | Jessica Nichols | Licensed Vocational Nurse | 426 E Allegheny Ave, Philadelphia, PA 19134-2338 | 2018-08-09 |
| Street Address |
304 DETROIT ST |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189820 | Neil William Wangstrom | Otolaryngology | 304 Detroit St, La Porte, IN 46350-2497 | 2005-07-29 |
| 1346707841 | Mackenzie Jacquelyn Blust | Physician Assistant | 304 Detroit St, La Porte, IN 46350-2497 | 2019-02-21 |
| 1750456356 | Jerry A Montgomery | Social Worker | 304 Detroit St, Suite A, La Porte, IN 46350-2473 | 2006-11-21 |
| 1043307978 | Neil Wangstrom Md PC | Audiologist | 304 Detroit St, La Porte, IN 46350-2473 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043307978 | Neil Wangstrom Md PC | Audiologist | 304 Detroit St, La Porte, IN 46350-2473 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922187 | Ryan David Leahy | Audiologist | 480 W Navajo St Ste A, West Lafayette, IN 47906-1940 | 2020-08-12 |
| 1720698558 | Shelby Zimmerman | Audiologist | 11725 Illinois St Ste 447, Carmel, IN 46032-3010 | 2020-08-06 |
| 1902441868 | Carolyn Herbert | Audiologist | 8330 Naab Rd Ste 235, Indianapolis, IN 46260-1932 | 2019-11-14 |
| 1518517002 | Katherine Noelle Griffith | Audiologist | 2421 Plum Woods Dr, Sellersburg, IN 47172-9081 | 2019-09-17 |
| 1548818131 | Allison Kern | Audiologist | 9106 N Meridian St Ste 200, Indianapolis, IN 46260-1826 | 2019-08-28 |
| 1508419359 | Barbara L Martig | Audiologist | 8425 Woodfield Crossing Blvd Ste 100, Indianapolis, IN 46240-7316 | 2019-07-22 |
| 1184286783 | Emily Elyse Brennecke | Audiologist | 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123-6913 | 2019-07-03 |
| 1952961591 | Sarah Jewel Gurnik | Audiologist | 2020 S State Road 135 Ste 200, Greenwood, IN 46143-6503 | 2019-06-17 |
| 1942869292 | Elizabeth Zuber | Audiologist | 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825-2096 | 2019-06-11 |
| 1225696875 | Angela Pollack | Audiologist | 201 N Illinois St Fl 16, Indianapolis, IN 46204-1904 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
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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.