Alexandria Nicholson, CNIM

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

13401 Railway Dr
Oklahoma City, OK 73114-2272

Phone

(405) 841-7826

Fax

(405) 841-7827

NPI assigned

Dec 4, 2014

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

Other names 1

• Alexabdria Benbrook Former name

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": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1063819183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16608 VALDERAMA WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730128925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 RAILWAY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142272",
            "telephone_number": "405-841-7826",
            "fax_number": "405-841-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ALEXANDRIA",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXABDRIA",
            "last_name": "BENBROOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kalinda Sue Nichols
• Katie Nichols
• Kristin Brooke Nichols
• Melissa Maxine Nichols
• Ronald Wendell Nichols Jr.
• James Sidney Nicholson Jr., DDS
• Jason Daniel Nicholson, D.D.S.
• Nick Knutson MD, a Professional Corporation
• Shannon Deserae Nick
• Sherrie J Nickel, LPN

• Other Specialist/Technologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Other Specialist/Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.