Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164211611 Individual Practitioner Female Practitioner

Nicole Hatalla

Peer Specialist • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Nicole Hatalla is a registered healthcare professional specializing in Peer Specialist in Springfield, OR. Practice services are available at 1144 GATEWAY LOOP STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1144 Gateway Loop Ste 200

Springfield, OR 974777706

Telephone 5416865060

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Springfield, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-30
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
NPI 1023419967
Amber Andrews

Counselor

NPI 1043611981
NPI 1114328051
NPI 1114742392

QMHAR

Fawn Perry

Counselor

NPI 1134674583
NPI 1134837933

Bachelor of Science, QMHAI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2025

Peer Specialist

NPI Profile Active May 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2025

Registered at 1144 GATEWAY LOOP STE 200, SPRINGFIELD, OR 974777706 (Tel: 5416865060)

📍
Updated Business Mailing Address May 01, 2025

Registered at 1144 GATEWAY LOOP STE 200, SPRINGFIELD, OR 974777706

👤
Provider Name / Credentials Updated May 01, 2025

Recorded as NICOLE HATALLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2025

Social Worker

🟢
Initial NPI Registration & Enumeration May 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164211611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2025
Last Update: May 30, 2025
Sole Proprietor: No

Mailing Address

1144 Gateway Loop Ste 200

Springfield, OR 974777706

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.