Nicole L Hadley, COTA

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

32002113A Issued in IN

Practice address

4758 E Hadley Rd
Mooresville, IN 46158-6616

Phone

(317) 797-4056

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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

Other names 1

• Nicole L Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1902292626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 E HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461586616",
            "telephone_number": "317-797-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 E HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461586616",
            "telephone_number": "317-797-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "32002113A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEE",
            "middle_name": "L",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory V McGowan DDS PC
• Sarah E Grindle
• Katy Grismore, CPNP
• Emily J Gropp, MD
• Luis Fernando Guifarro, MD
• Kimberly Pearl Hankenhoff, NP
• April Hansen
• Mary Kristin Harding, NP
• Harrison County Hospital (The Springs of Mooresville)
• Lauren Kristine Hatter, NP

• Assisted Living Facility in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.