NICHOLE KRISTINE JOLY PA-C
NPI 1154474369
Physician Assistant - Surgical in Washington, DC
- Individual
- Female
- Physician Assistant
- Surgical
About NICHOLE JOLY
This page provides the complete NPI Profile along with additional information for Nichole Joly, a provider established in Washington, District Of Columbia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1154474369 assigned on January 2007. The practitioner's primary taxonomy code is 363AS0400X with license number PA031121 (DC). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1154474369 Verify this NPI
- Provider Name
- NICHOLE KRISTINE JOLY PA-C
- Other Name
- NICHOLE KRISTINE GREULICH RPA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3800 RESERVOIR RD NW 4PHC WASHINGTON, DC 20007
- Location Phone
- (202) 444-5022
- Mailing Address
- 3800 RESERVOIR RD NW 4PHC WASHINGTON, DC 20007
- Mailing Phone
- (202) 444-5022
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2007
- Last Update Date
- 06-05-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA031121
- License State
- DC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 010809 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A400041044 | MEDICARE PIN (08) | NY | |
| A400036739 | MEDICARE PIN (08) | NY | |
| A400041043 | MEDICARE UPIN (02) | NY |
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Other Providers at the Same Location
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WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154474369, enumerated as an "individual" on January 19, 2007.
The provider is located at 3800 RESERVOIR RD NW 4PHC WASHINGTON, DC 20007 and the phone number is (202) 444-5022.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
