Heather Ruthann Nichols, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01068320A Issued in IN

Practice address

514 S 9TH St
Vincennes, IN 47591-2709

Phone

(812) 882-8510

Fax

(812) 885-8511

NPI assigned

Jul 19, 2007

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hnichols120932@direct.deaconess.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Samaritan Hospital Physician Services, Inc

  • Hospitalist Physician
  • Vincennes, IN
  • NPI 1649432071
  Medicare reassignment NPD
• Good Samaritan Hospital

  dba Good Samaritan Family Practice 100

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1760145973
  NPD
• Good Samaritan Hospital

  dba Good Samaritan Kids

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1063005601

  Pediatrics

  NPD (past)
• Good Samaritan Hospital Physicians Services Inc

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1043614498
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1366642365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S 9TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912709",
            "telephone_number": "812-882-8510",
            "fax_number": "812-885-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 9TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912709",
            "telephone_number": "812-882-8510",
            "fax_number": "812-885-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911402",
            "country_code": "US",
            "telephone_number": "812-882-4434",
            "fax_number": "812-885-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "HEATHER",
        "middle_name": "RUTHANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01068320A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D.",
            "identifier": "26-3086555",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000681708",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201003480",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "262813100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel A Neumann, M.D.
• Laura Elizabeth Neumann, OTR/L
• Neuro Wellness LLC
• Nibel General Practice LLC
• Nibel GP LLC
• Paige Nichols, RN
• Jacy Adam Nicholson, D.D.S.
• Jacob Nidey, LSW
• Teresa Jeanne Niehaus, OTR
• Northside Pharmacy Inc (North Side Pharmacy)

• Pediatrics Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.