Paige Olivia Nichols

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

1201 Minnesota Ave
Duluth, MN 55802-2424

Phone

(608) 279-9487

NPI assigned

May 19, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1508557489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 E 1ST ST APT 6",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121720",
            "telephone_number": "608-279-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MINNESOTA AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022424",
            "telephone_number": "608-279-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "PAIGE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ina Newton, LICSW
• Nextimage Medical
• Marldine Ngegah Nganteh, MD
• Ryan Nguyen
• James Frederick Nicholas
• Anna Nick
• Michele Rae Nick
• Nicolle Marie Nicklas, CRNA
• Rochelle L Niehues, LICSW
• Kenneth Walter Niejadlik

• Independent Duty Medical Technicians in Duluth, MN
• Providers in Duluth, MN by specialty
• Independent Duty Medical Technicians in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.