Wendy S Nichols, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

44707 Issued in ME

Practice address

35 Miles St.
Miles Medical Group
Damariscotta, ME 04543

Phone

(207) 563-4511

Fax

(207) 563-4103

NPI assigned

Apr 6, 2007

Last updated

Oct 2, 2008By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Roswell Hospital Corporation

  dba Valley Health Clinic of Eastern New Mexico

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474
  NPD (past)
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1396868394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MILES ST.",
            "address_2": "MILES MED. GROUP - ANESTHESIA",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-4511",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILES ST.",
            "address_2": "MILES MEDICAL GROUP",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-4511",
            "fax_number": "207-563-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "44707",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "R044707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321630099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean J. Moran, M.D.
• Charles J Mullen, M.D.
• Newcastle
• Joan Kallin Newton, FNP
• Anna Jeannine Nichols, MD, PHD
• Nobleboro
• Heather K. Norris, LCSW
• Patrick M. O'Brien, M.D.
• Ellen Frances O'Connor, MAC LAC LMT
• Sean M O'Donnell, MD

• Certified Registered Nurse Anesthetist in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Certified Registered Nurse Anesthetist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.