Active NPI
Nikole Emma Paul, R.D.H.
- Dental Hygienist
- Chewelah, WA
National Provider Identifier
1124287503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HL00008009
- Practice address
- 509 East Main Ave
Chewelah, WA 99109-0808 - Phone
- (509) 935-6001
- Fax
- (509) 935-4196
- NPI assigned
- Jun 2, 2008
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HL00008009 | WA | Primary |
Addresses
Primary practice location
509 East Main Ave
Chewelah, WA 99109-0808
Mailing address
PO Box 808
509 East Main Avenue
Chewelah, WA 99109-0808
Phone (509) 935-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902473 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HL00008009 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1124287503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"address_2": "509 EAST MAIN AVENUE",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991090808",
"telephone_number": "509-935-6001",
"fax_number": "509-935-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 EAST MAIN AVE",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991090808",
"telephone_number": "509-935-6001",
"fax_number": "509-935-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "NIKOLE",
"middle_name": "EMMA",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "HL00008009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902473",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chewelah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.