Active NPI
John M Nichols, MD
- Obstetrics & Gynecology Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 6371542
- Practice address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Phone
- (208) 381-2267
- Fax
- (208) 381-4314
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5111807-1204 | UT | |
| Obstetrics & Gynecology Physician | 207V00000X | 511807-1204 | UT | |
| Obstetrics & Gynecology Physician | 207V00000X | 6371542 | ID | Primary |
Addresses
Primary practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
3570 W 9000 S
#210
West Jordan, UT 84088-8876
Phone (801) 569-2626
Other practice location 2
1380 E Medical Center Dr Ste 1600
St George, UT 84790-2123
Phone (435) 251-4170
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.nichols@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5111807-1204 | UT | MD | Specialist |
| 6371542 | ID | MD | Obstetrics & Gynecology Physician |
| 511807-1204 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| South Valley Women'S Imaging, LLC | Specialist | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282
1303 N Main St
Ste 3C
Cedar City, UT 84721
Phone (435) 867-7433
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500
201 W Layton Pkwy
Ste 2B
Layton, UT 84041
Phone (801) 543-6850
900 Round Valley Dr
Ste 200
Park City, UT 84060
Phone (435) 658-7246
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
Ste N1800
St George, UT 84790
Phone (435) 251-4100
1380 E Medical Center Dr
Ste 1600
St George, UT 84790
Phone (435) 251-4150
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
- Rheumatology Physician
- Murray, UT
- NPI 1346634342
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1396073276
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Specialist
- West Jordan, UT
- NPI 1184758989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1114906252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 W ST LUKES DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877912",
"telephone_number": "208-381-2267",
"fax_number": "208-381-4314"
}
],
"practiceLocations": [
{
"address_1": "3570 W 9000 S",
"address_2": "#210",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840888876",
"country_code": "US",
"telephone_number": "801-569-2626",
"fax_number": "801-569-5333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1380 E Medical Center Dr Ste 1600",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847902123",
"country_code": "US",
"telephone_number": "435-251-4170",
"fax_number": "435-251-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "JOHN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "5111807-1204",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "511807-1204",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "6371542",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.nichols@direct.imail.org",
"affiliation": "N",
"address_1": "3570 W 9000 S",
"address_2": "#210",
"city": "West Jordan",
"state": "UT",
"country_code": "US",
"postal_code": "840888876",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.