Amanda Jean Nichols, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN. 122108-M-IV Issued in OH

Practice address

1958 Co Rd 1035
Ashland, OH 44805

Phone

(419) 545-0402

NPI assigned

Dec 6, 2010

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

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1205139797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 COUNTY ROAD 1035",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059236",
            "telephone_number": "419-545-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 CO RD 1035",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "44805",
            "telephone_number": "419-545-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 122108-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Michelle Nation, RN
• Michael T Neel, RN,CFNP
• Anastasia Dior Neiding
• Kelly J. Nelson, MS RD CSO LD
• Tina Renee Newlan, HOME HEALTH AIDE
• Patricia Louise Nickolette, LPN
• Heather Nicol, LISW
• Candis Brook Nolletti, APRN, FNP
• Imad Nouneh, DDS, MS
• Charles Novotny, MA-LPC

• Licensed Practical Nurse in Ashland, OH
• Providers in Ashland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.