Active NPI
Nicole R Creighton, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1265674915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46650
- Practice address
- 2727 Camino del Rio S
Suite 224
San Diego, CA 92108-3750 - Phone
- (619) 993-4737
- Fax
- (619) 578-2727
- NPI assigned
- Mar 26, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 46650 | CA | Primary |
Addresses
Primary practice location
2727 Camino del Rio S
Suite 224
San Diego, CA 92108-3750
Mailing address
2727 Camino del Rio S
Suite 224
San Diego, CA 92108-3750
Phone (619) 993-4737
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 |
|---|---|---|---|
| 46650 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1265674915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 CAMINO DEL RIO S",
"address_2": "SUITE 224",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083750",
"telephone_number": "619-993-4737",
"fax_number": "619-578-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 CAMINO DEL RIO S",
"address_2": "SUITE 224",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083750",
"telephone_number": "619-993-4737",
"fax_number": "619-578-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREIGHTON",
"first_name": "NICOLE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.