Tracy Lynn Nichols

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2329 Griffin Rd SW
Albuquerque, NM 87105-7026

Phone

(505) 377-6110

NPI assigned

Jul 29, 2019

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

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1023662947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TIJERAS AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023099",
            "telephone_number": "505-269-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 GRIFFIN RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871057026",
            "telephone_number": "505-377-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna L Nichols, OT
• Janeil F Nichols
• Janet Elizabeth Nichols, M.D.
• Linda Kay Nichols, D.M.D., P.A.
• Patricia Marie Nichols, DOM
• Audra Jayne Nickel
• Ursula Maria Luise Nickel, DOM
• Amanda Sabria Nickelberry
• Samuel Aaron Nickell, MD
• Angela Nicole Nickens

• Case Manager/Care Coordinator in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.