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NICHOLE JEANETTE PRIDEMORE NP
NPI 1376765214
Nurse Practitioner in San Francisco, CA

Active since May 02, 2007
1 LETTERMAN DR STE C3500, SAN FRANCISCO, CA 94129(415) 612-1900 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, Apr 25, 2017 (2 updates tracked since 2017).

About Nichole Jeanette Pridemore Np NPPES

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

NICHOLE JEANETTE PRIDEMORE NP (NPI 1376765214) is an individual nurse practitioner in San Francisco, California, licensed in Georgia (000000) and active in the NPI registry since May 2007. She maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1376765214
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLE JEANETTE PRIDEMORECredential: NP
Location Address1 LETTERMAN DR STE C3500San Francisco, CA 94129-1494
Mailing Address409 Woodruff Xing # X-ingWoodstock, GA 30189-6148 · (419) 290-6855
Phone(415) 612-1900
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1376765214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 000000
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 303269 (OH), 4704271769 (MI)
1 LETTERMAN DR STE C3500, San Francisco, CA 94129
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Other Names 1

Former Name (1)Nichole Jeanette Pridemore Np

Secondary Practice Location 1

Location 1530 Lytton AvePalo Alto, CA 94301-1556 · Phone (650) 380-3630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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 Pridemore's NPI number?

The NPI number for Nichole Pridemore is 1376765214. It was assigned to this individual provider in the NPPES registry on May 2, 2007. The provider is also known as Nichole Jeanette Pridemore Np.

Where is Nichole Pridemore located?

Nichole Pridemore practices at 1 Letterman Dr Ste C3500, San Francisco, CA 94129. The listed phone number is (415) 612-1900.

What is Nichole Pridemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Nichole Pridemore accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas, Inc. list Nichole Pridemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nichole Pridemore was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.