Nicole Elise Stewart, LMLP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1486 Issued in KS

Practice address

645 E Iron Ave
Suite C
Salina, KS 67401-2697

Phone

(785) 823-0001

Fax

(785) 914-5250

NPI assigned

Feb 4, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Elise Kiesling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1134425309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE",
            "address_2": "SUITE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-823-0001",
            "fax_number": "785-914-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE",
            "address_2": "SUITE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-823-0001",
            "fax_number": "785-914-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "LMLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KIESLING",
            "middle_name": "ELISE",
            "credential": "LMLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erik Stancil, COTA/L
• Stacy Y Stanford, PHARM.D.
• John Geroge Stavropoulos, PHARMD
• Erica Stein, MSW
• Megan Stein
• Paul D Stewart, D.O.
• Kelbi Dawn Stierwalt
• Brianna P Stirn, LMSW
• Shawn Stockman
• Kaitlin Jane Stoddard, LMSW

• Cognitive & Behavioral Psychologist in Salina, KS
• Providers in Salina, KS by specialty
• Cognitive & Behavioral Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.