NICOLE L WITHERSPOON NPI 1346757531

NPI Information

  • NPI: 1346757531
  • Provider Name: NICOLE L WITHERSPOON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 734 10TH AVE
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (619) 239-4663

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NPI Details

Nicole L Witherspoon is a student in an organized health care education training program in San Diego, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicole L Witherspoon NPI is 1346757531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

734 10TH AVE
SAN DIEGO, CA
ZIP 92101-502
Phone: (619) 239-4663

The enumeration date for this NPI number is 1/9/2018 and was last updated on 9/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior TechnicianRBT-17-38545CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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