Nicole Marie Theuret, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP023160 Issued in PA

Practice address

33 Main Dr
Warren, PA 16365-5001

Phone

(814) 726-4317

NPI assigned

Feb 9, 2021

Last updated

Aug 15, 2025By 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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Center for Focused Care.

  • Psychiatry Physician
  • Erie, PA
  • NPI 1770070096

  Single Specialty

  Medicare reassignment NPD
• Children's Center for Treatment and Education

  dba Beacon Light Behavioral Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, PA
  • NPI 1366609646

  Single Specialty

  Medicare reassignment NPD
• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314

  Single Specialty

  Medicare reassignment NPD
• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • North Warren, PA
  • NPI 1790768471

  Single Specialty

  Medicare reassignment NPD
• Childrens Center for Treatment and Education

  dba Beacon Light Behavioral Health Systems

  • Clinical Psychologist
  • Bradford, PA
  • NPI 1477626992
  NPD
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919

  Single Specialty

  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1891387049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAIN DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655099",
            "telephone_number": "814-726-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655001",
            "telephone_number": "814-726-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEURET",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Sutton, MD
• Kimberlee Jean Swanson, BSN
• Jada K Swart
• Taylor N. Day, PHD PLLC (Dr. Tay Concierge Clinical Care)
• Renee Nicole Taylor
• Jennifer Thrift, NP
• Kim Marie Thurston, DR
• Celeste Tidrick, LPC
• Timothy S Stanton MD
• Daniel Alan Toombs, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Warren, PA
• Providers in Warren, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.