Naomi Summerlee Nichols

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.007031 Issued in OH

Practice address

112 S 3Rd St
Newark, OH 43055-5335

Phone

(740) 345-6874

Fax

(740) 345-5157

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/themainplace/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Main Place, Inc.

  • Case Management Agency
  • Newark, OH
  • NPI 1184678500
  NPD

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1275366395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555335",
            "telephone_number": "740-345-6874",
            "fax_number": "740-345-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555335",
            "telephone_number": "740-345-6874",
            "fax_number": "740-345-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "NAOMI",
        "middle_name": "SUMMERLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.007031",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Nichole Newsome
• Paul M. Ngatia, LPN
• Sy Viet Nguyen, D.D.S
• Travis Nicholas, QMHS
• Jodi Nichols
• Carli Nicholson, PHARMD
• Nicholas Nieman
• Amanda Sue Nihiser, RN
• Susan Noe, PTA
• Gina Marie Nordstrom, PT

• Peer Specialist in Newark, OH
• Providers in Newark, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.