Rebecca Nichols, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

2013021470 Issued in MO

Practice address

6659 Mardel Ave
Saint Louis, MO 63109-1227

Phone

(636) 293-1493

NPI assigned

May 3, 2015

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 names 1

• Rebecca Kessler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1750768347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 MARDEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091227",
            "telephone_number": "636-293-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 MARDEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091227",
            "telephone_number": "636-293-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2013021470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KESSLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Ann Nichols, NP
• Lindsay C Nichols, LPC
• Lynn Rae Nichols, M.S CCC-SLP, M. ED
• Melanie Nichols, PH.D.
• Nicole K Nichols, ANP
• Skylar Jordan Nichols, LCSW
• Steven H Nichols, MD
• Adam Nicholson, MSW
• Mikeya Nicholson, MA, LPC
• Susan Kay Nicholson, P.A.

• Critical Care Medicine Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Critical Care Medicine Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.