Shakia Amani Nicholson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP20000532 Issued in DC

Practice address

7501 Surratts Rd Ste 308
Clinton, MD 20735-3377

Phone

(301) 877-7200

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sound Sleep LLCGroup PAC ID 3971914284, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Sound Sleep LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Haymarket, VA
  • NPI 1639776347

  VA

  Medicare reassignment Care Compare group NPD
• Pinnacle Healthcare Services, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Rockville, MD
  • NPI 1316551237

  DC

  Medicare reassignment NPD
• Breaking Silos in Medicine LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1720831142

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1497413587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BAGLEY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046105",
            "telephone_number": "757-633-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 SURRATTS RD STE 308",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353377",
            "telephone_number": "301-877-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SHAKIA",
        "middle_name": "AMANI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024182878",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP20000532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Hao Nguyen, PHARMD
• Phi D Nguyen
• Thao Nguyen, DPT
• Tram Ngoc Nguyen, D.D.S.
• Arlene Pearl Nichols, M.D.
• Leroy J Nickie
• Kudi S Njembu
• Sylvia Nkenfac
• Melissa North, FNP-BC
• Northrium Diagnostics

• All providers in Clinton, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.