Active NPI
Paula Ann Nichols, RN
- Home Health Registered Nurse
- Tonawanda, NY
National Provider Identifier
1033453840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 292866-1
- Practice address
- 6 Woodmere Dr
Tonawanda, NY 14150-5528 - Phone
- (585) 944-9350
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 292866-1 | NY | Primary |
Addresses
Primary practice location
6 Woodmere Dr
Tonawanda, NY 14150-5528
Mailing address
6 Woodmere Dr
Tonawanda, NY 14150-5528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012ORPHANS | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292866-1 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1033453840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WOODMERE DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141505528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WOODMERE DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141505528",
"telephone_number": "585-944-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "PAULA",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "292866-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012ORPHANS",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.