Olivia Ann Nichols, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2173 Issued in KS

Practice address

711 Marshall St
Leavenworth, KS 66048-3235

Phone

(913) 684-1196

NPI assigned

Jun 2, 2017

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

• Ms. Olivia Ann Adam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1629506662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S 14TH ST APT 208",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645014301",
            "telephone_number": "308-470-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MARSHALL ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483235",
            "telephone_number": "913-684-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "ADAM",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Marie Neenan, DPT
• Christie Ann Nelson, PSYD
• Huong DO-Thuy Nguyen, RPH
• Abigail Nichols
• Danielle K Nichols, LMSW
• Ramon L Nichols, M.D.
• James Nickelsen, LMFT
• Steven Wright Nimrod, LCPC
• Susan Diane Nimrod, LCPC
• Ashley Noah, PA-C

• Registered Dietitian in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.