Nancy Alcorn Nichols

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

LIFE CERTIFICATION Issued in TX

Practice address

9515 Fredericksburg Rd
San Antonio, TX 78240-4216

Phone

(210) 699-6463

Fax

(210) 694-2972

NPI assigned

Dec 3, 2012

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1356686240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 COUNTY ROAD 4215",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757064646",
            "telephone_number": "903-253-8988",
            "fax_number": "309-882-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404216",
            "telephone_number": "210-699-6463",
            "fax_number": "210-694-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "NANCY",
        "middle_name": "ALCORN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "6463",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "LIFE  CERTIFICATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nichols, FNP
• Katherine Aurelia Nichols, RN
• Latasha Nichols, RN
• Lorenzo Nichols II, O.D.
• Morgan Nichols
• Rachel Ann Nichols, LPC
• Robert Carroll Nichols, MD
• Shawnn D Nichols, M.D.
• Troy Nichols
• Alysia Nicholson, DDS

• Community Health Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.