Justin Nichols, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

2013025569 Issued in MO

Practice address

600 W 39TH St
Kansas City, MO 64111-2910

Phone

(816) 421-7608

Fax

(816) 421-6493

NPI assigned

Nov 17, 2017

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kansascityindiancenter.justinnichols@156915.advancedmd-direct.com

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.

• Heart of America Indian Center

  • Community Health Registered Nurse
  • Kansas City, MO
  • NPI 1750857827
  NPD

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1427562123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 39TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112910",
            "telephone_number": "816-421-7608",
            "fax_number": "816-421-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 39TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112910",
            "telephone_number": "816-421-7608",
            "fax_number": "816-421-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JUSTIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MO",
            "license": "2013025569",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MO",
            "license": "2013025569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth D. Nichols, NNP
• Chesnie Blair Nichols, PLPC
• Donna Nichols, APRN
• Erin Nichols, RN
• Joseph Nichols, ARNP-NP
• Kaylee Joelle Nichols, PHARMD
• Kelly B Nichols, MD
• Meghan A Nichols, MD
• Stephen Daniel Nichols, MA, NCC, PLPC
• Dorinda M Nicholson, LCSW

• Community Health Registered Nurse in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.