Angela Nicholson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61249 Issued in WV

Practice address

528 Ridgewood Rd
Huntington, WV 25701-4852

Phone

(304) 529-7004

Fax

(304) 529-7303

NPI assigned

Mar 30, 2016

Last updated

Mar 30, 2016By 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

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MSRC, LLC

  dba Mountain State Recovery Center

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1194294587
  Medicare reassignment NPD
• Hope for Tomorrow, LLC

  • Substance Abuse Rehabilitation Facility
  • Point Pleasant, WV
  • NPI 1639733744
  Medicare reassignment

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1760845531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 RIDGEWOOD RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014852",
            "telephone_number": "304-529-7004",
            "fax_number": "304-529-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 RIDGEWOOD RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014852",
            "telephone_number": "304-529-7004",
            "fax_number": "304-529-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "61249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Nichols, DO
• Mark Edward Nichols, P.T.
• Michael Brent Nichols
• Taylor Nichols, PHARM. D.
• Tiffany Rochelle Nichols
• Jerrad Nickell, D.O.
• Alona Leigh Nicks
• Krisjason Nicks
• Dwight L Nida, LMT
• Leonard Nida

• Family Nurse Practitioner in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.