Nikki Jackson Drummond, CCN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

4018 Issued in TX

Practice address

3939 Bee Cave Rd
Suite B-3
West Lake Hills, TX 78746-6431

Phone

(512) 699-8764

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1093072043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 BEE CAVE RD",
            "address_2": "SUITE B-3",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466431",
            "telephone_number": "512-699-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 BEE CAVE RD",
            "address_2": "SUITE B-3",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466431",
            "telephone_number": "512-699-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON DRUMMOND",
        "first_name": "NIKKI",
        "name_prefix": "Mrs.",
        "credential": "CCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Nutrition Education Nutritionist in Texas

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

Verify at the official NPI Registry.