Jennifer Lynn Nichols, DO

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

OS18799 Issued in FL

Practice address

8059 Spyglass Hill Rd Ste 102
Viera, FL 32940-8566

Phone

(321) 752-0111

Fax

(321) 752-0140

NPI assigned

May 24, 2007

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jnichols20498@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: jnichols71514@epicdirect.hf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Institute for Reproductive Medicine

  • Specialist
  • South Miami, FL
  • NPI 1437319654
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1659582724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PL FL 4",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434800",
            "telephone_number": "321-752-0111",
            "fax_number": "321-752-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8059 SPYGLASS HILL RD STE 102",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408566",
            "telephone_number": "321-752-0111",
            "fax_number": "321-752-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Jupiter Lakes Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587100",
            "country_code": "US",
            "telephone_number": "561-972-6900",
            "fax_number": "561-972-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-10-20",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS014387",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "OS18799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Michele Musil, PHARMD
• My Memory Care LLC (My Memory Clinic)
• Ronald David Nelson, PHARM.D., BCPP
• Nextgen Pathology
• Angela M Nguyen, MPH
• Russell Lee Norfleet, RPH
• Sarah M. Norris, LCSW
• Nicole Novak
• Estelle Kay Nowak, LMHC
• Tammy Nystrom, RPH

• Reproductive Endocrinology Physician in Viera, FL
• Providers in Viera, FL by specialty
• Reproductive Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.