Active NPI
Irish R Nicholas, REGISTERED NURSE
- Registered Nurse
- El Centro, CA
National Provider Identifier
1427280411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 634404
- Practice address
- 1109 S 7TH St
El Centro, CA 92243-3922 - Phone
- (760) 693-4617
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 634404 | CA | Primary |
Addresses
Primary practice location
1109 S 7TH St
El Centro, CA 92243-3922
Mailing address
1109 S 7TH St
El Centro, CA 92243-3922
Phone (760) 693-4617
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 634404 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1427280411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 S 7TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433922",
"telephone_number": "760-693-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S 7TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433922",
"telephone_number": "760-693-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "IRISH",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "634404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.