Keyana Nicholson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60927578 Issued in WA

Practice address

3436 Mary Elder Rd NE
Olympia, WA 98506-5050

Phone

(360) 528-2590

NPI assigned

Dec 20, 2021

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

State licenses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1013677020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 4TH WAY SW APT 202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022408",
            "telephone_number": "706-801-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 MARY ELDER RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065050",
            "telephone_number": "360-528-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KEYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60927578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truc Thanh Nguyen, PHARMD
• Vinh Hoang Nguyen, PHARMACIST
• Vo Dang Nguyen, MD
• Nichole Seymanski
• Austin James Nichols, PT
• Sara Sue Ellen Nickell
• Norman S. Nickle, MSW
• Dane Nielsen, MA, LMHC, LPC, CADC
• Donald Edward Niemann, DDS
• Leticia Nieto, M.A., PSY.D., LMFT

• Licensed Practical Nurse in Olympia, WA
• Providers in Olympia, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.