Loriann Nichols, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00045332 Issued in WA

Practice address

Evergreen Recovery Center
20508 56TH Ave W
Lynnwood, WA 98036

Phone

(425) 678-1390

NPI assigned

Oct 4, 2024

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

Practice roles

Locations

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.

• Evergreen Recovery Centers-Health Services

  • Primary Care Nurse Practitioner
  • Lynwood, WA
  • NPI 1275297384
  NPD
• Evergreen Recovery Centers-Lynnwood Detox

  • Substance Abuse Rehabilitation Facility
  • Lynnwood, WA
  • NPI 1588184980
  NPD (past)

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1114746476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVERGREEN RECOVERY CENTER",
            "address_2": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-678-1390",
            "fax_number": "425-678-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVERGREEN RECOVERY CENTER",
            "address_2": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-678-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LORIANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00045332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nguyen, RPH
• Tuan Nguyen
• Uyen N Nguyen, ARNP, DNP
• Nichole C. Martin, D.M.D., PLLC
• Brenden Taylor Nichols, PT
• Ashley Marie Nicklin, LMP
• Kristina Nielsen
• Jennifer Shannon Niemi, ARNP
• Keyvan Dastkhosh Nikghalb I
• Erin Nilsen

• Licensed Practical Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.