Nicole W. McGee, DA

Primary specialty

Medical IllustratorTaxonomy code 246ZI1000X

License

ST.0005541 Issued in CO

Practice address

2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330

Phone

(970) 225-9555

Fax

(970) 223-2294

NPI assigned

Nov 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Nicole Wallace Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Fort Collins Oral & Maxillofacial Surgery Partnership

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fort Collins, CO
  • NPI 1215659206
  NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1891404059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CARIBOU DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254330",
            "telephone_number": "970-225-9555",
            "fax_number": "970-223-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CARIBOU DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254330",
            "telephone_number": "970-225-9555",
            "fax_number": "970-223-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "NICOLE",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "DA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZI1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Illustration, Medical",
            "state": "CO",
            "license": "ST.0005541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "ST.0005541",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@fortcollinsoms.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business",
            "address_1": "2014 Caribou Dr Ste 100",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805254330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WALLACE",
            "prefix": "MISS",
            "credential": "DA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Kelly McFarland, MD
• Ross William McFarland, M.D.
• Mark McFerran, MD
• Maggie McFerrin, DPT
• Ariana McGee
• James G. McGinnis, M.D.
• Preston S McGinty, BSW
• Mellyna Angelica McGlothlin, D.O.
• Allyson McGonagle, APN-CNS, RN, MSN
• Jacqueline Jean McGough, PHYSICAL THERAPIST

• Medical Illustrator in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Illustrator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.