Nichole Angilic Degree, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703119998 Issued in MI

Practice address

1431 Washington Blvd Apt 2306
Detroit, MI 48226-1728

Phone

(414) 630-0379

NPI assigned

Mar 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Queen of Hearts

  • Licensed Practical Nurse
  • Detroit, MI
  • NPI 1174094627
  NPD Authorized official

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1861734816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 WASHINGTON BLVD APT 2306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261728",
            "telephone_number": "414-630-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 WASHINGTON BLVD APT 2306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261728",
            "telephone_number": "414-630-0379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532163607",
            "country_code": "US",
            "telephone_number": "414-491-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGREE",
        "first_name": "NICHOLE",
        "middle_name": "ANGILIC",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309638-31",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703119998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Michelle Defer, LLMSW
• Fe-Luz Degala
• Emma Gimenez Degeorge, TLLP
• Maegan Degler, NP
• Marcus E Degraw, MD
• Sandra Faye Deh
• Katerina Dehaan
• Max Dehaan
• Pegah Dejban, MD
• Robert Dejesus

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.