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MRS. NICHOLE KATRINA STARK LPN
NPI 1225313463
Licensed Vocational Nurse in Redding, CA

Active since October 19, 2011
2640 BRESLAUER WAY, REDDING, CA 96001(530) 225-5200 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nichole Katrina Stark Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICHOLE KATRINA STARK LPN (NPI 1225313463) is an individual licensed vocational nurse in Redding, California, licensed in California (284320) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1225313463
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMRS. NICHOLE KATRINA STARKCredential: LPN
Location Address2640 BRESLAUER WAYRedding, CA 96001-4246
Mailing Address40020 Pumice DrCassel, CA 96016 · (262) 960-0812
Phone(530) 225-5200
Sole ProprietorNo
Enumeration DateOctober 19, 2011
Last NPPES UpdateApril 26, 2016
✔ NPI 1225313463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 284320
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 314285-31 (WI)
2640 BRESLAUER WAY, Redding, CA 96001
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALE L BURLINGAME
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
RACHELLE ELIZABETH LATTER
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
MR. OMAR TEJADA
Clinic/Center (Mental Health (Including Community Mental Health Center))
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5252
ROBIN NELSON
Counselor (Addiction (Substance Use Disorder))
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5900
CAREN LYNN WILDS LCSW
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5973
EDWARD PLAZA
Interpreter
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
KEISHA LYNN PARRICK
Day Training/Habilitation Specialist
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
MICKIE LUBIC
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Stark's NPI number?

The NPI number for Nichole Stark is 1225313463. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Nichole Stark located?

Nichole Stark practices at 2640 Breslauer Way, Redding, CA 96001. The listed phone number is (530) 225-5200.

What is Nichole Stark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Nichole Stark was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.