Tanya A Nichols, RN CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN9206105 Issued in FL

Practice address

5205 Greenwood Ave
110
West Palm Beach, FL 33407-2400

Phone

(561) 803-8880

Fax

(561) 803-8899

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Atlantic University

  • Federally Qualified Health Center (FQHC)
  • West Palm Beach, FL
  • NPI 1093026619
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1013234277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 S CLASSICAL BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451235",
            "telephone_number": "561-637-8749",
            "fax_number": "561-803-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 GREENWOOD AVE",
            "address_2": "110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072400",
            "telephone_number": "561-803-8880",
            "fax_number": "561-803-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TANYA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN9206105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toan T Nguyen, MD
• Tony Nguyen, PT, DPT
• Truong The Nguyen, PHARMD
• Berkeley Anthony Nicholls, D.M.D.
• Amy Marie Nichols, PA-C
• Cynthia Lubin Nicolas, MA
• Jeanella C Nicolas, ALLIED HEALTH
• Nicole Basile MD PA
• Milagros Nicot Valenciano
• Ledif Nieva Cartaya

• Diabetes Educator Registered Nurse in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Diabetes Educator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.