Nicole Nottke

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

405 N. Kays Drive
Suite C
Normal, IL 61761

Phone

(309) 807-5077

NPI assigned

Apr 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1245027424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N. KAYS DRIVE",
            "address_2": "SUITE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N. KAYS DRIVE",
            "address_2": "SUITE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-807-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTKE",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nona Fulk, M.D., S.C.
• Eric Roy Norell, O.D.
• Morgan Leigh Norkiewicz, MS, CCC-SLP/L
• Normal Bloomington Anesthesiologists, LTD
• Corey Norman, LPC
• Volodymyr Novichenko, PHYSICAL THERAPIST
• Andrew Peter Novinska, LCPC
• Amy Lynn Perschall Nussbaum, MA
• Daniel Enyinnaya Nwankwo, M.D.
• Thomas Winn Nylund

• Social Worker in Normal, IL
• Providers in Normal, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.