Rachel Jean Osina Nichols, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M1982 Issued in TX

Practice address

1350 E Richards St
Tyler, TX 75702-6153

Phone

(903) 531-9455

Fax

(903) 526-3118

NPI assigned

Jul 6, 2006

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

Practice roles

Interoperability endpoints

• Direct secure messaging: rnichols864535@direct.sw.org

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.

• Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1407845084

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1649201484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E RICHARDS ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026153",
            "telephone_number": "903-531-9455",
            "fax_number": "903-526-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E RICHARDS ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026153",
            "telephone_number": "903-531-9455",
            "fax_number": "903-526-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RACHEL",
        "middle_name": "JEAN OSINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trung Nam Nguyen, DO
• Ambesi Ngwa
• Connie Nicholas
• Brittney Lee Nichols, LPC
• David Frank Nichols, DDS
• Savannah Joy Mariano Nichols, MD
• Lauren Christine Nicholson, BSN, RN, CRNI
• Heath Nickel, PHARMD
• Gina M Nickels-Nelson, FNP
• Nicosia Enterprises LLC

• Pediatrics Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.