Active NPI
Jennifer Nichols, CRNP
- Acute Care Nurse Practitioner
- Haverford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SPO17004
- Practice address
- 600 Haverford Rd
Haverford, PA 19041-1139 - Phone
- (610) 525-2601
- NPI assigned
- Jan 11, 2017
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SPO17004 | PA | Primary |
Addresses
Primary practice location
600 Haverford Rd
Haverford, PA 19041-1139
Mailing address
414 Paoli Pike
Malvern, PA 19355-3311
Phone (610) 525-2601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (888) 402-0202
905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPO17004 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Global Neurosciences Institute LLC | Current | Accepting new patients | |
| David a Thomas, LTD | Current | Accepting new patients | |
| David a Thomas, LTD | Current | Accepting new patients | |
| Medical Associates of the Main Line, PC | Past | Accepting new patients | |
| TPPW. PC | Past | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
10 Route 31 N
Ste 100
Pennington, NJ 08534
10 Route 31 N
Pennington, NJ 08534
Phone (609) 303-3064
100 Challenger Rd
#205
Ridgefield Pk, NJ 07660
150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
252 Belmont Ave
Doylestown, PA 18901
Phone (215) 348-2983
500 Evergreen Dr
Ste 23
Glen Mills, PA 19342
Phone (610) 579-3630
1205 Langhorne Newtown Rd
Ste 211
Langhorne, PA 19047
Phone (215) 335-6000
300 E Winchester Ave
Langhorne, PA 19047
Phone (215) 275-3361
160 E Erie Ave
Ste A308
Philadelphia, PA 19134
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/IBJDCD
Organizations & group practices 8
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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- NPI 1518908946
-
- Neurological Surgery Physician
- Chester, PA
- NPI 1275933228
-
- Psychologist
- Glen Mills, PA
- NPI 1356417745
-
- Hospitalist Physician
- Malvern, PA
- NPI 1033276076
-
- Family Medicine Physician
- West Chester, PA
- NPI 1245901438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1740726017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 PAOLI PIKE",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553311",
"telephone_number": "610-525-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HAVERFORD RD",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411139",
"telephone_number": "610-525-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "JENNIFER",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SPO17004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haverford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.