Nicole Evelyn Bishop
Individual provider Active NPI Peer Specialist · Covington, KY
NPI 1972284685 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1972284685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- G01-509-809 (KY)
- Practice address
- 416 Delmar PL
Covington, KY 41014-1421 - Phone
- (859) 760-8881
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| G01-509-809 | KY | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | G01-509-809 | KY | Yes |
Addresses
Primary practice location
416 Delmar PL
Covington, KY 41014-1421
Mailing address
416 Delmar PL
Covington, KY 41014-1421
Phone (859) 760-8881
Other providers in Covington, KY
- Tonya Best
- Brent Bevins
- Laura A Beyersdorfer
- Mandy Jo Bilyeu
- Cynthia Bischoff
- Taylor Bishop
- Kristen Marie Bjerke
- Emily Raylynn Black
- Christa Blanchet
- Karen M Blank-Arlinghaus
All providers in Covington, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. 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.