Michelle Lynn Nichols

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

9081 Wallonia Rd
Princeton, KY 42445-9012

Phone

(270) 522-9212

Fax

(866) 324-2993

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1003071077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9081 WALLONIA RD",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424459012",
            "telephone_number": "270-522-9212",
            "fax_number": "866-324-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 WALLONIA RD",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424459012",
            "telephone_number": "270-522-9212",
            "fax_number": "866-324-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Grace Morris
• Stephanie L Mundy, APRN
• Anna Murphy, DNP, APRN, FNP-BC
• Ellery H. Naghtin, APRN
• Sarena Newberry
• Nra-Princeton, Kentucky, LLC
• Amber Lynn O'Hearn, FNP-C
• David Lee Oliver, DMD
• Orr Medical, LLC .
• Amanda Grace Ortt, M.ED., LPCC, NCC

• All providers in Princeton, KY
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.