Active NPI
Scott Nichols, DVM
- Medical Research Veterinarian
- Flagstaff, AZ
National Provider Identifier
1053617217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Research Veterinarian
- License
- 4754
- Practice address
- 6122 Abineau Canyon Drive
Flagstaff, AZ 86004 - Phone
- (928) 523-7318
- NPI assigned
- Feb 7, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Research Veterinarian | 174MM1900X | 4754 | AZ | Primary |
Addresses
Primary practice location
6122 Abineau Canyon Drive
Flagstaff, AZ 86004
Mailing address
Box 5640
Northern Arizona University- Biological Sciences
Flagstaff, AZ 86011
Phone (928) 523-7318
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4754 | AZ | MD | Medical Research Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1053617217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 5640",
"address_2": "NORTHERN ARIZONA UNIVERSITY- BIOLOGICAL SCIENCES",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86011",
"telephone_number": "928-523-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6122 ABINEAU CANYON DRIVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86004",
"telephone_number": "928-523-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "174MM1900X",
"taxonomy_group": "",
"desc": "Veterinarian, Medical Research",
"state": "AZ",
"license": "4754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.