Nicole Annette Nicksic

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2906 Highway Ave
Highland, IN 46322-1631

Phone

(219) 513-8311

NPI assigned

Sep 10, 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

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.

• Milestone Therapy

  • Pediatric Physical Therapist
  • Highland, IN
  • NPI 1396814828
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1659854263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7538 MAPLEWOOD AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463243046",
            "telephone_number": "219-902-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 HIGHWAY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221631",
            "telephone_number": "219-513-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKSIC",
        "first_name": "NICOLE",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Naughton
• Iwona Navarro
• Michael Nestlehut
• Rebecca Lynn Newenhouse, MA, BCBA
• Gary S. Nickerson, D.D.S.
• Noble Home Health Care LLC
• Northwest Indiana Id Associates PC
• Northwest Indiana Podiatry Clinic, LLC
• Northwest Indiana Therapy Center, LLC
• Northwest Psychological Services, P.C.

• Developmental Therapist in Highland, IN
• Providers in Highland, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.