NICOLE SKYE SHOCKLEY
NPI 1538631692
Day Training/Habilitation Specialist in Mcminnville, OR

Active since December 28, 2018
625 NE GALLOWAY ST, MCMINNVILLE, OR 97128(503) 434-7523 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Skye Shockley NPPES

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

NICOLE SKYE SHOCKLEY (NPI 1538631692) is an individual day training/habilitation specialist in Mcminnville, Oregon and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1538631692
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameNICOLE SKYE SHOCKLEY
Location Address625 NE GALLOWAY STMcminnville, OR 97128-3933
Mailing Address629 Nw Cypress StMcminnville, OR 97128-5202 · (971) 716-6268
Sole ProprietorNo
Enumeration DateDecember 28, 2018
NPI 1538631692 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.
625 NE GALLOWAY ST, Mcminnville, OR 97128

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.

Technician
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Registered Nurse (Psychiatric/Mental Health)
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Social Worker (Clinical)
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Peer Specialist
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Case Manager/Care Coordinator
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Counselor
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Peer Specialist
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128

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 Shockley's NPI number?

The NPI number for Nicole Shockley is 1538631692. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Nicole Shockley located?

Nicole Shockley practices at 625 NE Galloway St, Mcminnville, OR 97128. The listed phone number is (503) 434-7523.

What is Nicole Shockley'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 Shockley was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.