Active NPI
Joyce Frances Nichols, FNP
- Family Nurse Practitioner
- Clinton, MO
National Provider Identifier
1700840824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 126160
- Practice address
- 1800 Community
Clinton, MO 64735-8804 - Phone
- (844) 853-8937
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 126160 | MO | Primary |
Addresses
Primary practice location
1800 Community
Clinton, MO 64735-8804
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
JCT Hwy 13 & Bus 13
Osceola, MO 65774
Phone (417) 646-8181
Other practice location 2
101 Hospital Dr
Osceola, MO 64776-9547
Phone (844) 853-8937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00203797 | Other | MO | RAILROAD MEDICARE ID # |
| 425444015 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Wellness Clinic | Past | Accepting new patients | |
| Citizens Memorial Healthcare | Past | Accepting new patients | |
| St. Clair County Hospital District #1 | Past | Accepting new patients | |
| Northwoods Psychiatric Services Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Psychiatry Physician
- Bolivar, MO
- NPI 1417902305
-
- Rural Health Clinic/Center
- Wheatland, MO
- NPI 1386728798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1700840824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "844-853-8937"
}
],
"practiceLocations": [
{
"address_1": "JCT HWY 13 & BUS 13",
"address_purpose": "LOCATION",
"city": "OSCEOLA",
"state": "MO",
"postal_code": "65774",
"country_code": "US",
"telephone_number": "417-646-8181",
"fax_number": "417-646-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Osceola",
"state": "MO",
"postal_code": "647769547",
"country_code": "US",
"telephone_number": "844-853-8937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "JOYCE",
"middle_name": "FRANCES",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "126160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID #",
"identifier": "P00203797",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425444015",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.