Dr Nicole Winter LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR NICOLE WINTER LLC

Practice address

76 Traveler Palm CT
Ponte Vedra Beach, FL 32082-4655

Phone

(616) 935-5136

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Lee Winter, PSYDNPI 1578007118

Title

Licensed Clinical Psychologist

Phone

(616) 935-5136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Lee Winter, PSY.D.

  • Clinical Psychologist
  • Ponte Vedra Beach, FL
  • NPI 1578007118
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1821818410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 TRAVELER PALM CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 TRAVELER PALM CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824655",
            "telephone_number": "616-935-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NICOLE WINTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-935-5136",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Dodds, OTR/L
• Emma Dorsett, PT, DPT
• Alisha Dionne Dowdy, CCC-SLP
• Carisa Nicole Doxzon, MS CCC-SLP
• Dr Fairall and Associates Behavioral Health and Family Mediation Servi
• Dr. Kelly J. Huber, Inc
• Dr. Laurie Fairall-Rueter, LLC
• DRS. Wood, Lanier & Bowman, PA
• Andrew Thien Duong
• Lisa Duran, LCSW

• Clinical Psychologist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.