Madison Lynn Nicely, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1820 1St Dr
Charleston, SC 29407-5756

Phone

(865) 253-5518

Fax

(888) 808-4249

NPI assigned

Dec 15, 2022

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

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1649982166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80901",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160901",
            "telephone_number": "865-253-5518",
            "fax_number": "888-808-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 1ST DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075756",
            "telephone_number": "865-253-5518",
            "fax_number": "888-808-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICELY",
        "first_name": "MADISON",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vy Nguyen, MD
• Vy Nguyen
• NHC Healthcare-Charleston LLC
• NHC Healthcare/Charleston Wo, LLC
• NHC Place-Charleston LLC
• Nicholas a Straney DPM
• Casey Michelle Nichols, FNP
• Erin Lewis Nichols, D.M.D.
• Virginia Guest Nichols, MD
• Lori Carroll Nicholson, PT

• Behavior Technician in Charleston, SC
• Providers in Charleston, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.