Connie Nikolaidis, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN081679 Issued in AZ

Practice address

3501 S 6TH Ave
Tucson, AZ 85723-3533

Phone

(520) 792-1450

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61209

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.

• Arizona Endovascular Center PLLC

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1619095908
  NPD (past)
• Azendo LLC

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
  • NPI 1790452126
  NPD (past)
• Mountain View Gastroenterology, PC

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1093929648
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1285615377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR",
            "address_2": "#235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103533",
            "telephone_number": "520-296-5500",
            "fax_number": "520-296-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857233533",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 E Carondelet Dr",
            "address_2": "#235",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103533",
            "country_code": "US",
            "telephone_number": "520-296-5500",
            "fax_number": "520-296-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOLAIDIS",
        "first_name": "CONNIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN081679",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN081679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741852",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Michael Nielson, DO
• Robert Nielson
• Stephanie A Niemi-Olson, FNP
• Stephen Niemiec, M.D.
• Rhonda L. Nieto, M.D.
• Amanda Eileen Nilson, RN
• Jacob Nilson, DO
• Emily Bassam Nimri, MD
• Jessica Maria Nino Mojica, MD
• Kathryn Ann Nintzel, DPT

• Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.