Individual provider Active NPI

Peggy Lou Nicholes, RN

  • Registered Nurse
  • Sugar Land, TX
National Provider Identifier
1164735064
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
561523 Issued in TX
Practice address
14002 Susan CT
Sugar Land, TX 77498-2353
Phone
(281) 773-5956
NPI assigned
Jul 20, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 561523 TX Primary

Addresses

Primary practice location

14002 Susan CT
Sugar Land, TX 77498-2353

Mailing address

14002 Susan CT
Sugar Land, TX 77498-2353
Phone (281) 773-5956

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

LicenseStateTypeSpecialty
561523TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1164735064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 SUSAN CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982353",
            "telephone_number": "281-773-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 SUSAN CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982353",
            "telephone_number": "281-773-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLES",
        "first_name": "PEGGY",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "561523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.