Deborah Ann Nichols, R.D.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

KY- 0147 Issued in KY

Practice address

475 Whirlaway Dr
Danville, KY 40422-9036

Phone

(859) 236-5982

Fax

(859) 236-2649

NPI assigned

Jan 31, 2007

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

Other names 1

• Mrs. Debbie Nichols Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508903204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SPRINGHILL RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221045",
            "telephone_number": "859-236-5982",
            "fax_number": "859-236-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WHIRLAWAY DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229036",
            "telephone_number": "859-236-5982",
            "fax_number": "859-236-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "KY",
            "license": "KY- 0147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "NICHOLS",
            "prefix": "MRS.",
            "credential": "R.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Renal Nutrition Registered Dietitian in Danville, KY
• Providers in Danville, KY by specialty
• Renal Nutrition Registered Dietitian in Kentucky

• 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.