Gabriella Nichols, STUDENT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

26511 W 109TH St
Olathe, KS 66061-9343

Phone

(913) 475-2560

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1780323360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26511 W 109TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619343",
            "telephone_number": "913-475-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26511 W 109TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619343",
            "telephone_number": "913-475-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "GABRIELLA",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexus Counseling LLC
• Kimatu Ngao
• Larry W Nibbelink, MD
• Nicholas W Kanakares Jr DDS PA
• Charla Nichols, MOTR/L
• Stacey Danielle Nicholson, LCMFT
• Devin Natalie Nickell, LPC-T
• Megan Marie Nickell, PMHNP-BC
• Nickie L Gale DDS PA
• Nickie L. Perry, DDS, PA

• Athletic Trainer in Olathe, KS
• Providers in Olathe, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.