Whitney Nichols, DOCTOR

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023352 Issued in IL

Practice address

2023 Vadalabene Dr Ste 300
Maryville, IL 62062-5846

Phone

(618) 288-6722

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Pain Consultants LLCGroup PAC ID 7618225020, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.58 of 100Reported as group

Quality

91.56

Promoting interoperability

96

Improvement activities

40

Cost

74.2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Interventional Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Alton, IL
  • NPI 1225522063
  Medicare reassignment Care Compare group NPD
• Interventional Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Maryville, IL
  • NPI 1568078087
  NPD

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1497237150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S WALNUT ST",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VADALABENE DR STE 300",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625846",
            "telephone_number": "618-288-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "WHITNEY",
        "credential": "DOCTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Napier, APRN, PMHNP-BC
• Riaz A Naseer, M.D.
• Naylor Periodontics, P.C.
• Melia Neill
• Sajjan K Nemani, MD
• Sanjay K Nigam, MD
• McKenzie Leigh Nikonovich, PMHNP-BC
• Nobbe Family Chiropractic, Inc.
• Kristin Elizabeth Nobbe-Bloemer, D.C.
• Hailey Nosalik, PHYSICIAN ASSISTANT

• Physical Therapist in Maryville, IL
• Providers in Maryville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.