Nicole J Ullom, RADT is a
Community Health Worker based in Grass Valley, California. Nicole J Ullom is licensed to practice in California (license number ) and her current practice location is
900 E Main St Ste 201, Grass Valley, California. She can be reached at her office (for appointments etc.) via phone at
(530) 273-2244.
NPI number for Nicole J Ullom is 1942986344 and her current mailing address is 900 E Main St Ste 201, Grass Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942986344.
Healthcare Provider's Profile
Full Name | Nicole J Ullom |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 900 E Main St Ste 201, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942986344
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 01/06/2025
Medical Identifiers
Medical identifiers for Nicole J Ullom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942986344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1510160623 (California) | Secondary |
172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole J Ullom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole J Ullom, RADT 900 E Main St Ste 201, Grass Valley, CA 95945-5853 Ph: (530) 273-2244 | Nicole J Ullom, RADT 900 E Main St Ste 201, Grass Valley, CA 95945-5853 Ph: (530) 273-2244 |
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