Terry Emanuel Nichols, P.T.A.

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

2087210 Issued in TX

Practice address

4501 Cartwright Rd
Suite 606
Missouri City, TX 77459-3541

Phone

(281) 969-7137

Fax

(281) 969-8882

NPI assigned

Oct 31, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Coastal Assistant Group, LLC

  • Registered Nurse First Assistant
  • Missouri City, TX
  • NPI 1255681391
  NPD (past)

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1477807345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19155",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774969155",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD",
            "address_2": "SUITE 606",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593541",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TERRY",
        "middle_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "2087210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Nicholas, L.C.S.W
• Sharelle Nicholas
• Terry M Nicholas
• Carlene May Nichols, LVN
• Taylor Shaelynn Nichols
• Amirhossein Nikahd, M.D.
• Saylee Yogendra Nimbalkar, MS
• Lincy G Ninan, PA-C
• Mathews Ninan, M.D.
• Nitro Wholesale Inc

• Surgical Technologist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.