Cecilia Patrice Nickles, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

80739 Issued in TX

Practice address

6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179

Phone

(210) 342-2299

NPI assigned

May 30, 2017

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

State licenses

Practice roles

Locations

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.

• Alamo Premier Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1124626114
  NPD

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1669900148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 COUNTY ROAD 345",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781214077",
            "telephone_number": "210-838-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166179",
            "telephone_number": "210-342-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12349 N Interstate 35",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782333201",
            "country_code": "US",
            "telephone_number": "210-646-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKLES",
        "first_name": "CECILIA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick S Aguilar MD PA
• Shelly R Nickels, MD
• Abigail Nickelson, IONM
• Corey Phillips Nickerson
• Baron Tyrone Nickleberry, D.C.
• Claire E. Nickson, OT
• Oleg Nicolaev, DDS
• Nina Corinne Nicolaides, LPC
• Rochele Marie Nicolas-Wedige, FNP
• Marlo Magsanoc Nicolas, MD

• Hearing Instrument Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.