Active NPI
Joy Diane Nickinson, IMF
- Counselor
- Santa Barbara, CA
National Provider Identifier
1710323555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMF 70871
- Practice address
- 123 W Gutierrez St
Santa Barbara, CA 93101-3424 - Phone
- (805) 698-8329
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMF 70871 | CA | Primary |
Addresses
Primary practice location
123 W Gutierrez St
Santa Barbara, CA 93101-3424
Mailing address
123 W Gutierrez St
Santa Barbara, CA 93101-3424
Phone (805) 698-8329
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 70871 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1710323555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W GUTIERREZ ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013424",
"telephone_number": "805-698-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W GUTIERREZ ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013424",
"telephone_number": "805-698-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKINSON",
"first_name": "JOY",
"middle_name": "DIANE",
"credential": "IMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "IMF 70871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.