Individual provider Active NPI

Paul Jeffrey Nicolai, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1093706186
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1330 Issued in OR
Practice address
5933 NE Win Sivers Dr
Suite 226
Portland, OR 97220-9056
Phone
(503) 200-5231
Fax
(503) 200-5746
NPI assigned
Oct 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1330 OR Primary

Addresses

Primary practice location

5933 NE Win Sivers Dr
Suite 226
Portland, OR 97220-9056

Mailing address

5933 NE Win Sivers Dr
Suite 226
Portland, OR 97220-9056
Phone (503) 200-5231

Other identifiers 1

IdentifierTypeStateIssuer
275315OtherOROMAP

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

LicenseStateTypeSpecialty
1330ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1093706186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 NE WIN SIVERS DR",
            "address_2": "SUITE 226",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209056",
            "telephone_number": "503-200-5231",
            "fax_number": "503-200-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 NE WIN SIVERS DR",
            "address_2": "SUITE 226",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209056",
            "telephone_number": "503-200-5231",
            "fax_number": "503-200-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAI",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-29",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "275315",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.