Kaaren Andrea Nichols, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00019367 Issued in WA

Practice address

9757 NE Juanita Dr Ste 200
Kirkland, WA 98034-4291

Phone

(425) 576-9272

Fax

(425) 576-0894

NPI assigned

Aug 27, 2009

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Longevity Medical Clinic

  • Specialist
  • Kirkland, WA
  • NPI 1023231172
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1609009422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 NE JUANITA DR., SUITE 200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-576-9272",
            "fax_number": "425-576-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 NE JUANITA DR STE 200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344291",
            "telephone_number": "425-576-9272",
            "fax_number": "425-576-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KAAREN",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00019367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Nguyen
• Van Thi Ai Nguyen
• Vanly Nguyen, MD
• Vy K Nguyen, RN
• Mark Anson Niblett, D.C.
• Loryann Mariam Nichols, LMFT
• Hannah Elizabeth Nickel
• Phillip J Nickerson, MD
• Angela Renee Nida, RN
• Ying Nie

• General Practice Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.