Nicholas Niemyer, RN

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

AP8087 Issued in AZ

Practice address

37000 N Gantzel Rd
Queen Creek, AZ 85140

Phone

(602) 476-8962

NPI assigned

May 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, 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.

• Obstetrix Medical Group of Phoenix PC

  • Pediatric Cardiology Physician
  • Phoenix, AZ
  • NPI 1346269594
  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152
  NPD (past)

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1013354489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121334",
            "telephone_number": "602-476-8962",
            "fax_number": "954-618-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 N GANTZEL RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "602-476-8962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 Fredericksburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293646",
            "country_code": "US",
            "telephone_number": "210-541-8281 x221",
            "fax_number": "210-541-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMYER",
        "first_name": "NICHOLAS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-26",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "RN111478",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "AZ",
            "license": "AP8087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichols Orthodontics and Aesthetics PLLC
• Trevor Scott Nichols, DMD
• Kylee Rai Nickerson
• Rebecca-Ann Nielsen, RN
• Shelly Nielson, MA
• Shannon Alyse Nikula, SLP-A
• Obianuju Queen Njoku
• Nobody'S Perfect Inc.
• Jaime Jeanette Norton, D.M.D.
• Npstrox PLLC

• Critical Care Neonatal Nurse Practitioner in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Critical Care Neonatal Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.