Provider Demographics
NPI:1811794076
Name:PIELE, NICKOLE JASMINE
Entity type:Individual
Prefix:
First Name:NICKOLE
Middle Name:JASMINE
Last Name:PIELE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:NICKOLE
Other - Middle Name:JASMINE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:608 GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3033
Mailing Address - Country:US
Mailing Address - Phone:531-777-4843
Mailing Address - Fax:
Practice Address - Street 1:3604 SUMMIT PLAZA DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1065
Practice Address - Country:US
Practice Address - Phone:402-315-3277
Practice Address - Fax:402-284-5852
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist