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NICOLE LYNN HERZOG
NPI 1962967042
Day Training/Habilitation Specialist in Eugene, OR

Active since February 04, 2019
2145 CENTENNIAL PLZ, EUGENE, OR 97401(541) 485-6340(541) 984-3124 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Lynn Herzog NPPES

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

NICOLE LYNN HERZOG (NPI 1962967042) is an individual day training/habilitation specialist in Eugene, Oregon and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1962967042
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameNICOLE LYNN HERZOG
Location Address2145 CENTENNIAL PLZEugene, OR 97401-2474
Mailing Address2145 Centennial PlzEugene, OR 97401-2474 · (541) 485-6340 · Fax (541) 984-3124
Phone(541) 485-6340
Fax(541) 984-3124
Sole ProprietorNo
Enumeration DateFebruary 4, 2019
✔ NPI 1962967042 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.
2145 CENTENNIAL PLZ, Eugene, OR 97401
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Other Identifiers 1

Medicaid101YM0800XOR

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.

SARA LYNN BAKER
Day Training/Habilitation Specialist
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 525-5222
DANIEL WINSTON MERRELL
Peer Specialist
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 485-6340
JON CAMPBELL
Adult Companion
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 485-6340
MRS. NIA YANURITA HARTZELL
Counselor
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 485-6340
LINCOLN WILLIAM FALK
Case Manager/Care Coordinator
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 485-6340
NOELANI WILDROSE PENCE QHMA
Case Manager/Care Coordinator
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 485-6340
MARIA HELENE MCGOWAN B.S.
Counselor (Mental Health)
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 485-6340
TIFFANY MARIE HARRIS BA, CADCI
Counselor (Mental Health)
2145 CENTENNIAL PLZ
EUGENE, OR 97401
Lane County (541) 684-6825

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 Herzog's NPI number?

The NPI number for Nicole Herzog is 1962967042. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Nicole Herzog located?

Nicole Herzog practices at 2145 Centennial Plz, Eugene, OR 97401. The listed phone number is (541) 485-6340.

What is Nicole Herzog'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 Herzog was last updated on February 4, 2019. 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.