Active NPI
Valerie Lee Nichols, RN
- Adult Psychiatric/Mental Health Registered Nurse
- El Cajon, CA
National Provider Identifier
1114393725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN 401344
- Practice address
- 1000 Eastside Rd.
El Cajon, CA 92020 - Phone
- (619) 249-2416
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN 401344 | CA | Primary |
Addresses
Primary practice location
1000 Eastside Rd.
El Cajon, CA 92020
Mailing address
1000 Eastside Rd.
El Cajon, CA 92020
Phone (619) 249-2416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401344 | Other | CA | RN |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 401344 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1114393725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EASTSIDE RD.",
"city": "EL CAJON",
"state": "CA",
"postal_code": "92020",
"telephone_number": "619-249-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EASTSIDE RD.",
"city": "EL CAJON",
"state": "CA",
"postal_code": "92020",
"telephone_number": "619-249-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "VALERIE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "RN 401344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "401344",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.