Nicole Lynn Izatt

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

595 Shoshone St
Grand Junction, CO 81504-5682

Phone

(970) 712-8074

NPI assigned

May 18, 2018

Last updated

May 18, 2018By the provider in NPPES

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

Other names 1

• Nicole Lynn Pitts Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

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  Single Specialty

  Medicare reassignment NPD
• Amos Counseling LLC

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  • NPI 1740631779
  NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1396235909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SHOSHONE ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045682",
            "telephone_number": "970-712-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SHOSHONE ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045682",
            "telephone_number": "970-712-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZATT",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PITTS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria del Carmen Irizarry
• Lindsie Jordan Irvin-Connelly
• John David Isaacs
• Lindsay Marie Ishman, LCSW, LAC
• Natalie L Ivey, LPC
• J Christopher Young PHD PC
• Ryan Jackman, M.D.
• Elizabeth Dawn Jacks
• Sharon S. Jacksi, PH.D,
• Kiana Nicole Jackson

• Counselor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.