Angelina Elizabeth Nichols
Individual provider Active NPI Peer Specialist · Taft, CA
NPI 1255157459 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1255157459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1021 4TH St Ste B
Taft, CA 93268-2433 - Phone
- (661) 765-7025
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | CA | ||
| Peer Specialist | 175T00000X | CA | Yes |
Addresses
Primary practice location
1021 4TH St Ste B
Taft, CA 93268-2433
Mailing address
1021 4TH St Ste B
Taft, CA 93268-2433
Phone (661) 765-7025
Other providers in Taft, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.