Katie Nicholson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

228184 Issued in AR

Practice address

55 Humphreys Center Dr Ste 200
Memphis, TN 38120-2366

Phone

(901) 747-0040

NPI assigned

Oct 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Conway Regional Medical Center IncGroup PAC ID 3173428414, shared by 26 NPIs, 129 clinicians

Hot Springs Interventional Pain Management PAGroup PAC ID 8527158880, 13 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.

• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  Medicare reassignment Care Compare group NPD
• Hot Springs Interventional Pain Management PA

  • Interventional Pain Medicine Physician
  • Hot Springs, AR
  • NPI 1376733824
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Cave City, AR
  • NPI 1417563321
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  NPD
• Pinnacle Allergy Clinic, PLLC

  • Clinic/Center
  • Little Rock, AR
  • NPI 1346753332
  NPD

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1508648635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202366",
            "telephone_number": "901-747-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202366",
            "telephone_number": "901-747-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228184",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40759",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Marie Nichols, LICENSED NURSE
• Kim E Nichols, M.D.
• Rachael Nichols, COTA/L
• Theresa Louise Nichols, P.T.
• Tiffany Nichols
• Christopher M Nickele, M.D.
• Eugenie B Nickell, LPC
• Zakiya Oni Nicks, OD
• Okeemah Nicolini
• David Gregory Nicotera, SLP

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.