Hannah Nicholson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0016194 Issued in CO

Practice address

2002 12TH St
Hood River, OR 97031-9543

Phone

(541) 386-1211

NPI assigned

Feb 24, 2016

Sex

Female

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)

Enrolled

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.

• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1023478674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271157",
            "telephone_number": "330-666-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319543",
            "telephone_number": "541-386-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016194",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Mae Hood Nearpass, LMT
• Holly Nelson, LMT
• Marc Newcomb, LMT
• Patricia Karen Newman, OTR/L
• Hilary Brooke Nicholls, FNP-BC
• Cassie Ann Nobbs, BSCPT
• Noble Pine Dentistry LLC
• Noblepine Dental LLC
• Emily Jasmine Nolasco, RDH
• Shannon Northroup, LMT, CSI

• Physical Therapist in Hood River, OR
• Providers in Hood River, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.