Pamela Lyn Nickels, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC00000026 Issued in TN

Practice address

1220 S Congress Blvd
Smithville, TN 37166-2035

Phone

(615) 597-4445

Fax

(615) 587-4477

NPI assigned

Sep 27, 2012

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 names 1

• Pamela Lyn Skates Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nickels Chiropractic Clinic PLLC

  • Chiropractor
  • Sparta, TN
  • NPI 1710487194
  Medicare reassignment NPD Authorized official
• Johnson Chiropractic Clinic, PLLC

  • Chiropractor
  • Smithville, TN
  • NPI 1366715377
  NPD (past)
• Olds Chiropractic Clinic P.C.

  • Chiropractor
  • Cookeville, TN
  • NPI 1396113833
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1396096582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662035",
            "telephone_number": "615-597-4445",
            "fax_number": "615-587-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662035",
            "telephone_number": "615-597-4445",
            "fax_number": "615-587-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "PAMELA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC00000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SKATES",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kay J Myers, PHYSICAL THERAPIST
• Myra Young Johnson
• Neighborhood Walk-in
• NHC Healthcare Smithville LLC
• NHC Healthcare-Smithville LLC
• Johnny Paul, DPH
• Pharmacy at Family Medical Center PLLC
• Robert Reed Pitts IV, MD
• Peggy Poag, PT
• Christopher Bailey Price, DC

• Chiropractor in Smithville, TN
• Providers in Smithville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.