Tiffany Nichols

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4267 Issued in TN

Practice address

6064 Apple Tree Dr Ste 2
Memphis, TN 38115-0307

Phone

(901) 666-1068

NPI assigned

Mar 4, 2021

Reactivated

Jul 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Autism Education & Therapy Center, LLC

  • Early Intervention Provider Agency
  • Nashville, TN
  • NPI 1699242420
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1093300733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6064 APPLE TREE DR STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150307",
            "telephone_number": "901-666-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6064 APPLE TREE DR STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150307",
            "telephone_number": "901-666-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "deactivation_date": "2025-08-06",
        "reactivation_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "4267",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Nichols
• Joanna Marie Nichols, LICENSED NURSE
• Kim E Nichols, M.D.
• Rachael Nichols, COTA/L
• Theresa Louise Nichols, P.T.
• Katie Nicholson, APRN
• Christopher M Nickele, M.D.
• Eugenie B Nickell, LPC
• Zakiya Oni Nicks, OD
• Okeemah Nicolini

• Occupational Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.