Nicole Lynette Dove

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1001 Needham St
Modesto, CA 95354-0730

Phone

(209) 569-0373

NPI assigned

May 20, 2019

Last updated

Oct 7, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Turning Point Community Programs

  dba Turning Point Behavioral Health Services Team

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1528189172
  NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1902765993
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1295392801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-569-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-569-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVE",
        "first_name": "NICOLE",
        "middle_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Douglas
• Roy Douglas
• Troy Scott Douglas, D.P.M
• Jazmyne Douglass
• Natasha Neelum Douglass, FNP
• Macy Lynn Dowdy
• Downey Park Counseling Associates
• Nicole R Downey
• Melissa Downs
• Sean Downs

• Case Manager/Care Coordinator in Modesto, CA
• Providers in Modesto, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.