Active NPI
Katherine Kern Nichols, M.D.
- Pediatrics Physician
- Opelika, AL
National Provider Identifier
1316088156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18435
- Practice address
- 2401 Village Professional Pkwy
Opelika, AL 36801-4702 - Phone
- (334) 749-8121
- Fax
- (334) 749-6166
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18435 | AL | Primary |
Addresses
Primary practice location
2401 Village Professional Pkwy
Opelika, AL 36801-4702
Mailing address
2401 Village Professional Pkwy
Opelika, AL 36801-4702
Phone (334) 749-8121
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18435 | Other | AL | ALABAMA MEDICAL LICENSE |
| 18435 | Other | AL | ALABAMA CONTR SUBST CERT |
| 510-27666 | Other | AL | BCBS AL PROV # OPELIKA |
| 515-17926 | Other | AL | BCBS AL PROV # AUBURN |
| 1210140 | Other | AL | UNITED HEALTH PROV # |
| 32572 | Other | AMERICAN BOARD PEDIATRICS | |
| 153293 | Other | AAP ID |
Other names 1
- Dr. Katherine Ellen Kern
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18435 | AL | MD | Pediatrics Physician |
Interoperability endpoints
- katherinenichols@pcllc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1316088156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 VILLAGE PROFESSIONAL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368014702",
"telephone_number": "334-749-8121",
"fax_number": "334-749-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 VILLAGE PROFESSIONAL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368014702",
"telephone_number": "334-749-8121",
"fax_number": "334-749-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "KATHERINE",
"middle_name": "KERN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "18435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA MEDICAL LICENSE",
"identifier": "18435",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA CONTR SUBST CERT",
"identifier": "18435",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL PROV # OPELIKA",
"identifier": "510-27666",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL PROV # AUBURN",
"identifier": "515-17926",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PROV #",
"identifier": "1210140",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD PEDIATRICS",
"identifier": "32572",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAP ID",
"identifier": "153293",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "KERN",
"middle_name": "ELLEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.