Kathleen Nickerson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH002903 Issued in GA

Practice address

5601 Veterans Pkwy
Columbus, GA 31904-9001

Phone

(706) 321-6190

Fax

(706) 252-3008

NPI assigned

Feb 11, 2025

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.

• Columbus Department of Public Health

  • Public Health or Welfare Agency
  • Columbus, GA
  • NPI 1427017201
  NPD

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1679388151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049001",
            "telephone_number": "706-321-6190",
            "fax_number": "706-252-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049001",
            "telephone_number": "706-321-6190",
            "fax_number": "706-252-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "KATHLEEN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH002903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Nguyen, MD
• Tina Dientham Nguyen, PHARMD
• Vannie Daracan Nguyen, NP
• Liming Ni, PHARM. D., PH. D.
• Madeline Nicholson, RBT
• Vincent Michael Nicolais, M.D.
• Tiffany A. Nicoll, DO
• Kelly Honsinger Nilsson, OD
• Nimbus Health Columbus P.C.
• Nimbus Health National Tin PC

• Dental Hygienist in Columbus, GA
• Providers in Columbus, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.