Active NPI
Nicole Egan, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1447662945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 82801
- Practice address
- 3255 Wing St
San Diego, CA 92110-4638 - Phone
- (619) 221-8600
- Fax
- (619) 221-8611
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 82801 | CA | Primary |
Addresses
Primary practice location
3255 Wing St
San Diego, CA 92110-4638
Mailing address
3255 Wing St
San Diego, CA 92110-4638
Phone (619) 221-8600
Other names 1
- Nicole Hinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2024 through Jan 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82801 | CA | MD | Marriage & Family Therapist |
| 105534 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1447662945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 WING ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104638",
"telephone_number": "619-221-8600",
"fax_number": "619-221-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 WING ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104638",
"telephone_number": "619-221-8600",
"fax_number": "619-221-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "NICOLE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "82801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HINSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.