Nicole Altimari
Individual provider Active NPI Mental Health Counselor · Tinker Afb, OK
NPI 1891031092 · NPPES record last updated Nov 5, 2022
Key facts
- NPI
- 1891031092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH12935 (FL)
- Practice address
- 7513 Sentry Blvd BLDG 282
Tinker Afb, OK 73145-9037 - Phone
- (352) 263-3533
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12935 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12935 | FL | Yes |
Addresses
Primary practice location
7513 Sentry Blvd BLDG 282
Tinker Afb, OK 73145-9037
Mailing address
7513 Sentry Blvd BLDG 282
Tinker Afb, OK 73145-9037
Phone (352) 263-3533
Other providers in Tinker Afb, OK
- 72D Medgrp-Tinker
- Markia Maureen Anderson
- Anthony T. Pham, O.D., P.C.
- Mark Robert Bacon
- Jeffery Baker
- Jocelyn Marie Barton
All providers in Tinker Afb, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.