Meeta Nicholas, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-072224 Issued in AL

Practice address

1924K Dauphin Island Pkwy
Mobile, AL 36605-3004

Phone

(251) 476-6330

Fax

(251) 473-1086

NPI assigned

Apr 3, 2007

Last updated

Oct 29, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1730200130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924K DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053004",
            "telephone_number": "251-476-6330",
            "fax_number": "251-473-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924K DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053004",
            "telephone_number": "251-476-6330",
            "fax_number": "251-473-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MEETA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-072224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  DIP",
            "identifier": "51108266",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1072224",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nia Primary Care
• Samantha Rae Nibert, DO
• Nicholas J Pappas, LCSW, LLC
• Alyssa Bray Nicholas, DNP, APRN, FNP-C
• Gabrielle N Nicholas
• Michelle D Nicholas, P.A.
• Amy C Nichols, AU.D., PH.D.
• Brandon Woodfin Nichols, M.D.
• Haley Alise Nichols
• Dante Nicholson

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.