Katherine M. Nichols, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

5939 Issued in CT

Practice address

75 Swantown HL
Stonington Institute
North Stonington, CT 06359-1022

Phone

(860) 535-1010

Fax

(860) 535-9076

NPI assigned

Jun 5, 2006

Last updated

Nov 6, 2014By the provider in NPPES

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1013956366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SWANTOWN HL",
            "address_2": "STONINGTON INSITUTE",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591022",
            "telephone_number": "860-535-1010",
            "fax_number": "860-535-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SWANTOWN HL",
            "address_2": "STONINGTON INSTITUTE",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591022",
            "telephone_number": "860-535-1010",
            "fax_number": "860-535-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hill
• Kylie Hynes
• Kali Knight
• Little Oaks ABA
• Jessica Lombardi, RDH
• Angela P Noe, APRN, FNP-C
• Jody Elizabeth Noe, MS ND
• North Stonington Ambulance Association, Inc
• North Stonington Board of Education
• North Stonington Health Center, Inc

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in North Stonington, CT
• Providers in North Stonington, CT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.