Jessica Nichols

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000549 Issued in NY

Practice address

571 Morse Memorial Hwy
Olmstedville, NY 12857-1825

Phone

(914) 564-6675

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By the provider in NPPES

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

State licenses

Networks

• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1790232973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 MORSE MEMORIAL HWY",
            "city": "OLMSTEDVILLE",
            "state": "NY",
            "postal_code": "128571825",
            "telephone_number": "914-564-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 MORSE MEMORIAL HWY",
            "city": "OLMSTEDVILLE",
            "state": "NY",
            "postal_code": "128571825",
            "telephone_number": "914-564-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Anne Brannon, RN
• Susan Frasier, RN
• Minerva Central School District
• Brandon Nichols, LBA
• Franz Hahr Stewart Jr., MD

• Behavior Analyst in Olmstedville, NY
• Providers in Olmstedville, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.