Individual provider Active NPI

Chloe Nichols, NP

  • Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1053654541
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R181711 Issued in MD
Practice address
201 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4302
Phone
(240) 566-6161
Fax
(240) 348-8551
NPI assigned
Apr 3, 2013
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R181711 MD Primary

Addresses

Primary practice location

201 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4302

Mailing address

828 Holden Rd
Frederick, MD 21701-3409
Phone (240) 566-6161

Other practice location 1

828 Holden Rd
Frederick, MD 21701-3409
Phone (240) 566-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, WA, AR, MT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20130604000438 MD Practitioner - Nurse Practitioner 5597903419 Reassigns benefits to 2 organizations
I20151201001051 DC Practitioner - Nurse Practitioner 5597903419 Reassigns benefits to 2 organizations
I20190422002296 WA Practitioner - Nurse Practitioner 5597903419 Reassigns benefits to 3 organizations
I20230131002979 AR Practitioner - Nurse Practitioner 5597903419 Reassigns benefits to 2 organizations
I20230421000660 MT Practitioner - Nurse Practitioner 5597903419 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R181711MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Jul 19, 2024 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

265 Mill St
Ste 100
Hagerstown, MD 21740
Phone (301) 733-8293

1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175

617 10th Ave S
Great Falls, MT 59405
Phone (406) 727-9330

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

500 SW 7th St
Ste A104
Renton, WA 98057

500 SW 7th St
Ste A205
Renton, WA 98057

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

208 E Francis Ave
Spokane, WA 99208
Phone (509) 489-2372

1215 N McDonald Rd
Ste 201
Spokane Valley, WA 99216
Phone (509) 926-1559

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1053654541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 HOLDEN RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013409",
            "telephone_number": "240-566-6161",
            "fax_number": "240-348-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024302",
            "telephone_number": "240-566-6161",
            "fax_number": "240-348-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Holden Rd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217013409",
            "country_code": "US",
            "telephone_number": "240-566-6161",
            "fax_number": "240-348-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CHLOE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R181711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.