Individual provider Active NPI

Patricia Jane Nichols, LPN

  • Licensed Practical Nurse
  • Madison, TN
National Provider Identifier
1497884282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN0000033732 Issued in TN
Practice address
620 Gallatin Pike S
Madison,TN
Madison, TN 37115-4013
Phone
(615) 460-4396
Fax
(625) 460-4301
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000033732 TN Primary

Addresses

Primary practice location

620 Gallatin Pike S
Madison,TN
Madison, TN 37115-4013

Mailing address

620 Gallatin Pike S
Madison,TN
Madison, TN 37115-4013
Phone (615) 460-4396

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

State licenses

LicenseStateTypeSpecialty
LPN0000033732TNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497884282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GALLATIN PIKE S",
            "address_2": "MADISON,TN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154013",
            "telephone_number": "615-460-4396",
            "fax_number": "625-460-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GALLATIN PIKE S",
            "address_2": "MADISON,TN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154013",
            "telephone_number": "615-460-4396",
            "fax_number": "625-460-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "PATRICIA",
        "middle_name": "JANE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000033732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

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.

Verify at the official NPI Registry.