Thomas Walter Nichols

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2430 NW Myhre Rd # 101
Silverdale, WA 98383-7669

Phone

(360) 328-5054

NPI assigned

Oct 18, 2020

Sex

Male

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

• Sasha Faye Richardson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1770182156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 NW MYHRE RD # 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837669",
            "telephone_number": "360-328-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "THOMAS",
        "middle_name": "WALTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "RICHARDSON",
            "middle_name": "FAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Quoc Phuong Nguyen
• NHC Bremerton
• Niazi & Sharaki PLLC
• Arash Niazi Sharaki, DDS
• Allan Romine Nichols, P.T.
• Stefanie Nickels, HIS
• Josephine Anna Nickum, M.E.D., LMHC
• Marisa Rika Nielsen
• Jason Niemeyer, D.D.S.
• Janet Bernice Nite, RBT

• Behavior Analyst in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.