Keron Andre McNichol, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

955774 Issued in TX

Practice address

14213 Gil Reyes Dr
El Paso, TX 79938-2710

Phone

(915) 704-2683

NPI assigned

Jul 2, 2020

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1043837362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 HICKMAN ST APT A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361843",
            "telephone_number": "915-704-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14213 GIL REYES DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382710",
            "telephone_number": "915-704-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOL",
        "first_name": "KERON",
        "middle_name": "ANDRE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "955774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Martin McMahon, O.D.
• Thomas McMillan
• Jacqueline Samantha McMiller, FNP
• Jeffrey Sherman McNeal, RN
• Kendra L McNellye-Mattox, RN, DFNP-BC
• Rosemary McPharlin, DDS
• Billy Ray McPherson Jr.
• William Christopher McQuillen
• Glenn Curtis McReynolds, DDS
• Naomi Jaci McSwain

• Home Health Registered Nurse in El Paso, TX
• Providers in El Paso, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.