MISS NICOLE MARIE KEADLE
NPI 1669847018
Counselor - Addiction (Substance Use Disorder) in Santa Cruz, CA

Active since December 10, 2015
8030 SOQUEL AVE, SUITE 103, SANTA CRUZ, CA 95062(831) 476-1747(831) 476-1125 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Nicole Marie Keadle NPPES

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

MISS NICOLE MARIE KEADLE (NPI 1669847018) is an individual addiction (substance use disorder) provider in Santa Cruz, California, licensed in California (RI-K1511041608) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1669847018
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS NICOLE MARIE KEADLE
Location Address8030 SOQUEL AVE, SUITE 103Santa Cruz, CA 95062-2096
Mailing Address8030 Soquel Ave, Suite 103Santa Cruz, CA 95062-2096 · (831) 476-1747 · Fax (831) 476-1125
Fax(831) 476-1125
Sole ProprietorNo
Enumeration DateDecember 10, 2015
NPI 1669847018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · RI-K1511041608
8030 SOQUEL AVE, Santa Cruz, CA 95062

Other Providers at the Same Location NPPES 9

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

Physical Therapist
8030 SOQUEL AVE
SANTA CRUZ, CA 95062
Dentist
8030 SOQUEL AVE, STE 101
SANTA CRUZ, CA 95062
Social Worker (Clinical)
8030 SOQUEL AVE
SANTA CRUZ, CA 95062
Physical Therapist
8030 SOQUEL AVE, SUITE #200
SANTA CRUZ, CA 95062
Physical Therapist
8030 SOQUEL AVE
SANTA CRUZ, CA 95062
Physical Therapist
8030 SOQUEL AVE, SUITE #200
SANTA CRUZ, CA 95062
Marriage & Family Therapist
8030 SOQUEL AVE, SUITE 130
SANTA CRUZ, CA 95062
Behavior Analyst
8030 SOQUEL AVE, SUITE 104
SANTA CRUZ, CA 95062

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 Keadle's NPI number?

The NPI number for Nicole Keadle is 1669847018. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Nicole Keadle located?

Nicole Keadle practices at 8030 Soquel Ave Suite 103, Santa Cruz, CA 95062. The listed phone number is (831) 476-1747.

What is Nicole Keadle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Keadle was last updated on December 10, 2015. 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.