1. Home
  2. Directory
  3. California
  4. Antioch
  5. Day Training Habilitation Specialist
  6. NPI Profile

PROF. NICOLE MARIE TANKERSLEY
NPI 1295629566
Day Training/Habilitation Specialist in Antioch, CA

Active since June 03, 2025
4405 NULL DR, ANTIOCH, CA 94509(925) 481-8058(925) 481-8058 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Nicole Marie Tankersley NPPES

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

PROF. NICOLE MARIE TANKERSLEY (NPI 1295629566) is an individual day training/habilitation specialist in Antioch, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1295629566
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NamePROF. NICOLE MARIE TANKERSLEY
Location Address4405 NULL DRAntioch, CA 94509-4343
Mailing Address1330 Arnold Dr Ste 142Martinez, CA 94553-6538
Phone(925) 481-8058
Fax(925) 481-8058
Sole ProprietorYes
Enumeration DateJune 3, 2025
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1295629566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
4405 NULL DR, Antioch, CA 94509
Open in Google Maps ↗

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 Nicole Tankersley's NPI number?

The NPI number for Nicole Tankersley is 1295629566. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Nicole Tankersley located?

Nicole Tankersley practices at 4405 Null Dr, Antioch, CA 94509. The listed phone number is (925) 481-8058.

What is Nicole Tankersley's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Nicole Tankersley was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.