Mrs Nichole Katrina Stark, LPN - Licensed Vocational Nurse in Redding, CA

Mrs Nichole Katrina Stark, LPN is a Licensed Vocational Nurse based in Redding, California. Mrs Nichole Katrina Stark is licensed to practice in California (license number 284320) and her current practice location is 2640 Breslauer Way, Redding, California. She can be reached at her office (for appointments etc.) via phone at (530) 225-5200.

NPI number for Mrs Nichole Katrina Stark is 1225313463 and her current mailing address is 40020 Pumice Dr, Cassel, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225313463.

Contact Information

Mrs Nichole Katrina Stark, LPN
2640 Breslauer Way,
Redding, CA 96001-4246
(530) 225-5200
Not Available

Map and Direction




Provider's Profile

Full NameMrs Nichole Katrina Stark
GenderFemale
SpecialityLicensed Vocational Nurse
Location2640 Breslauer Way, Redding, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225313463
  • Provider Enumeration Date: 10/19/2011
  • Last Update Date: 04/26/2016

Medical Identifiers

Medical identifiers for Mrs Nichole Katrina Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225313463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 314285-31 (Wisconsin)Secondary
164X00000XLicensed Vocational Nurse 284320 (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. Mrs Nichole Katrina Stark 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 AddressPractice Location Address
Mrs Nichole Katrina Stark, LPN
40020 Pumice Dr,
Cassel, CA 96016

Ph: (262) 960-0812
Mrs Nichole Katrina Stark, LPN
2640 Breslauer Way,
Redding, CA 96001-4246

Ph: (530) 225-5200

Reviews and Comments


Licensed Vocational Nurse Nurses in Redding, CA

Trista Nicole Sos, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1907 Tiburon Dr, Redding, CA 96003
Phone: 707-362-1751    
Katryna Sherby,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2603 Wilson Ave, Redding, CA 96002
Phone: 530-515-7821    
Dana Gayle Fries,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1090 E Cypress Ave Ste B, Redding, CA 96002
Phone: 530-223-2332    Fax: 530-223-4721
Michele Gorby,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2640 Breslauer Way, Redding, CA 96001
Phone: 530-225-5200    
Leta Martine Niles, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1090 E Cypress Ave Ste B, Redding, CA 96002
Phone: 530-223-2332    
Dolly Sianez,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1090 E Cypress Ave Ste B, Redding, CA 96002
Phone: 530-223-2332    Fax: 530-223-4721
Marie Sherrick, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2030 Elreno Lane, Redding, CA 96001
Phone: 530-921-5607    

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