Nicole E Nedella, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005318 Issued in AZ

Practice address

4700 S Syracuse St Ste 900
Denver, CO 80237-2741

Phone

(888) 293-2939

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole E Stevenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.nedella.1@19957.direct.athenahealth.com

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

• Pinnacle Family Medicine PLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1093590341
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1407017106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 W LEWIS AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925523",
            "telephone_number": "602-334-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S SYRACUSE ST STE 900",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372741",
            "telephone_number": "888-293-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 5th Ave Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981047041",
            "country_code": "US",
            "telephone_number": "866-657-7991",
            "fax_number": "206-701-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12330 W Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925523",
            "country_code": "US",
            "telephone_number": "602-334-6588",
            "fax_number": "909-256-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEDELLA",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R1019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "STEVENSON",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Marie Nease, MSW
• Scott William Nebel, PSY.D.
• Rose Elain Neblett, HHA
• Nectar Donut Inc
• Angela Neddeau, PHARMD
• James Edward Nee Hundley, LCSW
• Kathryn Lauren Needham, OT
• Christine I Neeley, M.D.
• Jennifer Neeley
• Charlie V Neely

• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.