Donna Marie Nicholas, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

437377 Issued in CA

Practice address

1980 Allston Way # H105
Berkeley, CA 94704-1463

Phone

(510) 644-6965

Fax

(510) 644-2887

NPI assigned

Jul 9, 2018

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)

Not enrolled

Credentials

Registered Nurse

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.

• City of Berkeley

  • Ambulatory Family Planning Facility
  • Berkeley, CA
  • NPI 1487972790
  NPD (past)
• City of Berkeley

  • Ambulatory Family Planning Facility
  • Berkeley, CA
  • NPI 1902944796
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1649766015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775101",
            "telephone_number": "510-861-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ALLSTON WAY # H105",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041463",
            "telephone_number": "510-644-6965",
            "fax_number": "510-644-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "437377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy-Trang Nguyen, O.D.
• Tuong-Vy Vivian Nguyen, OD
• Gessica Shirlin Ni
• Jaleh Niazi, M.D.
• Nicholas Rosenlicht MD Inc
• Michael Kiamos Nicholas, RN, MSN, PMHNP-BC
• Aliyah Nandi Nichols
• Camille Nichols, MFT
• James Arthur Nickelsen, M.D.
• Julie Anne Nickelsen, MD

• School Registered Nurse in Berkeley, CA
• Providers in Berkeley, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.