Andrea Marie Nikolai, R.D,, M.P.H,, L.D.N

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

L003393 Issued in NC

Practice address

1206 Brown St
Washington, NC 27889-4671

Phone

(252) 946-4134

NPI assigned

Dec 8, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Washington Pediatrics

  • Pediatrics Physician
  • Washington, NC
  • NPI 1144332404
  NPD (past)
• Washington Pediatrics

  • Pediatric Nutrition Registered Dietitian
  • Washington, NC
  • NPI 1982904223

  Nutrition, Pediatric

  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1295064012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "3E139 BRODY MEDICAL SCIENCES BUILDING, ECU",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-946-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLAI",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "R.D,, M.P.H,, L.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003393",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NC",
            "license": "L003393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Hope Behavioral Health Services, Inc.
• New Hope Counseling Services, P. a.
• New Perspective Life Center,Inc
• Kelley Newman
• Lauren A Nickson, PHYSICIAN ASSISTANT
• Amy Jo Norbom, LMBT
• Dianna Norman-Peele, MSW, LCSW-A
• North Carolina CVS Pharmacy LLC
• Mackenzie North
• Misty O'Neal, M.S. CCC-SLP

• Pediatric Nutrition Registered Dietitian in Washington, NC
• Providers in Washington, NC by specialty
• Pediatric Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.