Active NPI
Carrie Beiner Nichols, MSW INTERN
- Student in an Organized Health Care Education/Training Program
- Escondido, CA
National Provider Identifier
1497817506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 240 S Hickory St # 210
Escondido, CA 92025-4355 - Phone
- (760) 747-0205
- Fax
- (760) 747-0582
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
240 S Hickory St # 210
Escondido, CA 92025-4355
Mailing address
2380 Hosp Way Apt 237
Carlsbad, CA 92008-1232
Phone (760) 214-3866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9849 | Other | CA | MEDICAL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497817506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 HOSP WAY APT 237",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081232",
"telephone_number": "760-214-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S HICKORY ST # 210",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254355",
"telephone_number": "760-747-0205",
"fax_number": "760-747-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "CARRIE",
"middle_name": "BEINER",
"name_prefix": "Mrs.",
"credential": "MSW INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "9849",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.