Nikkita Nozistel

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012

Phone

(561) 251-8953

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

Yes

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

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1770199416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BENT TREE DR APT 92",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143012",
            "telephone_number": "561-251-8953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bent Tree Dr Apt 92",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141174",
            "country_code": "US",
            "telephone_number": "561-251-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOZISTEL",
        "first_name": "NIKKITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Family Health Center II, LLC
• Northwest Family Health Center II, LLC
• Hannah Norton
• Kayla Norwood, M.S.N., A.R.N.P.
• Maria Fernanda Novoa Villavicencio, MD
• Iszenn Joy Nudalo-Briganti, ARNP
• Kasey Nulph, COTA
• Carla Nunez de Jimenez, DMD
• NWB Operations, LP
• Veronica O'Connor

• Student in an Organized Health Care Education/Training Program in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

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