Active NPI
Timothy Dean Nikkel
- Non-emergency Medical Transport (VAN)
- Sioux City, IA
National Provider Identifier
1578865622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 882ZZ1895
- Practice address
- 5011 Morningside Ave
Sioux City, IA 51106-3027 - Phone
- (712) 224-4722
- Fax
- (186) 635-8636
- NPI assigned
- Nov 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 882ZZ1895 | IA | Primary |
Addresses
Primary practice location
5011 Morningside Ave
Sioux City, IA 51106-3027
Mailing address
5011 Morningside Ave.
Sioux City, IA 51106-3027
Phone (712) 224-4722
Other names 1
- Ms. Tim Dean Nikkel
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
| License | State | Type | Specialty |
|---|---|---|---|
| 882ZZ1895 | IA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1578865622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 MORNINGSIDE AVE.",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063027",
"telephone_number": "712-224-4722",
"fax_number": "186-635-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 MORNINGSIDE AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063027",
"telephone_number": "712-224-4722",
"fax_number": "186-635-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKKEL",
"first_name": "TIMOTHY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-23",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "IA",
"license": "882ZZ1895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIM",
"last_name": "NIKKEL",
"middle_name": "DEAN",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.