Karen D Nicholson, M.D., M.P.H.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G74856 Issued in CA

Practice address

333 S. Twin Oaks Valley Rd
Cal State San Marcos SHCS
San Marcos, CA 92096-0001

Phone

(760) 750-4920

Fax

(760) 750-3181

NPI assigned

Oct 3, 2006

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

Credentials

Doctor of Medicine

State licenses

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.

• Cal State San Marcos Student Health & Counseling Services

  • Student Health Clinic/Center
  • San Marcos, CA
  • NPI 1144340670
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679668297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10885 SANDY HOOK RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262521",
            "telephone_number": "858-586-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S. TWIN OAKS VALLEY RD",
            "address_2": "CAL STATE SAN MARCOS SHCS",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "760-750-4920",
            "fax_number": "760-750-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G74856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Nicholas
• Cindy Sue Nickle
• Nicolle Miller, DDS a Professional Dental Corporation
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• Nicole Nilsen
• Amy Meredith Nitecki, OTR/L

• Public Health & General Preventive Medicine Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.