MICHELLE NICKELATTI


Address: 3600 Gaston Ave, Wadley Ste 550, Dallas, TX 75246-1800
Phone: 2148201335

MICHELLE NICKELATTI (NPI# 1972984953) 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) 1972984953
Entity Type Individual
Full Name MICHELLE NICKELATTI
Credential PA-C
Practice Address 3600 Gaston Ave
Wadley Ste 550
Dallas
TX 75246-1800
Mailing Address 3117 Sondra Dr Apt 205
Fort Worth
TX 76107-7702
Practice Telephone 2148201335
Enumeration Date 2015-06-15
Last Update Date 2015-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3600 GASTON AVE
WADLEY STE 550
City DALLAS
State TX
Zip Code 75246-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043215429 Norman Slusher Ophthalmology 3600 Gaston Ave, Ste 964, Dallas, TX 75246-1909 2005-06-14
1669032561 Julia Przybyszewski Physician Assistant 3600 Gaston Ave, Dallas, TX 75246-1800 2019-06-13
1164934865 Stephen Daniel Krivan Physician Assistant 3600 Gaston Ave, Wadley Tower Suite 550, Dallas, TX 75246 2017-11-02
1013451608 Mary Elise Wallace Dietitian, Registered 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 2016-12-15
1508226382 Jessica Osipenko Nurse Practitioner 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246-1800 2016-03-07
1952773178 Erin Davidson Pharmacist 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 2015-10-27
1871960146 Krista Heinrich Pharmacist 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 2015-08-21
1417339177 Jami Mckinney Physician Assistant 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 2015-06-18
1780065755 Evan Koesler Physician Assistant 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 2015-06-15
1851772958 Alexandra Lee Bewley Physician Assistant 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 2015-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1033683701 Marta Revilla-leon Dentist 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 2019-01-16
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1841710266 Stephanie Chartier-plante Student in an Organized Health Care Education/Training Program 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 2017-06-27
1528505096 Adam Bohnenblust Chiropractor 411 N Washington Ave Ste 2200, Dallas, TX 75246 2017-01-23
1699121327 Magnolia Pain Associates Pllc Pain Medicine 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 2016-05-12
1073969408 Apurva Yeluru Hospitalist 3500 Gaston Ave Ste 550, Dallas, TX 75246 2016-05-04
1134580533 Sp Alf Ops Co, LLC Assisted Living Facility 3922 Simpson Street, Dallas, TX 75246 2016-03-11
1386031185 Lisa Voigt Student in an Organized Health Care Education/Training Program 3501 Junius Street, Dallas, TX 75246 2015-04-20
1891107843 Jessica Shie Internal Medicine Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 2014-05-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821641051 Kelsey Young Physician Assistant 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 2019-07-17
1558863555 Kyra Nicole Logan Physician Assistant 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 2018-03-06
1386169175 Lauren Moore Physician Assistant 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 2017-08-14
1811427594 Jena Benik Physician Assistant 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 2017-06-15
1881123909 One Healthcare LLC Physician Assistant 1722 Routh St Ste 900, Dallas, TX 75201-2588 2017-06-12
1972037307 Morrison Medical Physician Assistant 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 2017-04-12
1205297652 Keri Miller Physician Assistant 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 2016-03-14
1275907776 Aleshia Mutai Physician Assistant 5800 E Lovers Ln, Dallas, TX 75206-2901 2015-11-20
1588049613 Yvonne Conard Physician Assistant 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 2015-07-30
1699174599 John Michael Cline Physician Assistant 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 2014-08-15
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Competitor

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City DALLAS
Zip Code 75246

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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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