Betty Jane Nicholson, LPN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

102230 Issued in OK

Practice address

2307 S Gordon Cooper Dr
Shawnee, OK 74801-9007

Phone

(405) 395-9304

Fax

(405) 395-9305

NPI assigned

Aug 31, 2010

Last updated

Apr 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1528375359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 S GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019007",
            "telephone_number": "405-395-9304",
            "fax_number": "405-395-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 S GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019007",
            "telephone_number": "405-395-9304",
            "fax_number": "405-395-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "BETTY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LPN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L 0058799",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "102230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Newman, LPC
• Martine Welehelale Ngamelue-Kouemo, ARNP
• Jordan Nguyen, DDS
• Kimberly Phan Nguyen
• Brock Wesley Nichols, DDS
• Emily Brooke Nickerson, BA
• David Eugene Nicklas, DPH
• NKR Enterprises, Aprn-CNP, PLLC (Magnolia Clinic)
• Jacob Nolen
• Troy R Norred, MD

• Registered Nurse in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.