Nicki Paul

Primary specialty

ContractorTaxonomy code 171W00000X

License

VOOO36334 Issued in NE

Practice address

4211 S 143Rd Cir
Omaha, NE 68137-4505

Phone

(402) 598-0517

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1306632336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 S 143RD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374505",
            "telephone_number": "402-598-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 S 143RD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374505",
            "telephone_number": "402-598-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 S 143rd Cir",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681374505",
            "country_code": "US",
            "telephone_number": "402-598-0517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "NICKI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NE",
            "license": "VOOO36334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Paul
• Allen David Paul, M.S., M.DIV.
• Cynthia Paul, M.D.
• Josephine Paul
• Lindsey Kathryn Paul, PHARMD
• Nicole Suzanne Paul, LMHP, LMFT
• Niles Paul
• Shaunta Paul
• Paula a Whittle Mental Health Services PC
• Marissa Jane Paulden

• Contractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Contractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.