Active NPI
Nancy A Nickle, RNCNP
- Women's Health Nurse Practitioner
- Fort Morgan, CO
National Provider Identifier
1275624314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 44603
- Practice address
- 916 Lake St
Fort Morgan, CO 80701-3029 - Phone
- (303) 232-3675
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 44603 | CO | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 44603 | CO |
Addresses
Primary practice location
916 Lake St
Fort Morgan, CO 80701-3029
Mailing address
916 Lake St
Fort Morgan, CO 80701-3029
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 |
|---|---|---|---|
| 44603 | CO | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1275624314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 LAKE ST",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807013029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 LAKE ST",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807013029",
"telephone_number": "303-232-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKLE",
"first_name": "NANCY",
"middle_name": "A",
"credential": "RNCNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "44603",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CO",
"license": "44603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Morgan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.