Kathleen A Nicol

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP012200 Issued in PA

Practice address

100 Chippewa Town Ctr
Beaver Falls, PA 15010-1204

Phone

(724) 770-7999

Fax

(724) 843-1514

NPI assigned

Dec 4, 2012

Last updated

Dec 4, 2012By 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 PA, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleennicol@hvhs.allscriptsdirect.net

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.

• Heritage Valley Multispecialty Group, Inc.

  • Internal Medicine Physician
  • Beaver, PA
  • NPI 1528015401

  OH

  Medicare reassignment Care Compare group NPD
• Heritage Valley Multispecialty Group, Inc.

  • Family Medicine Physician
  • Aliquippa, PA
  • NPI 1518435981

  Nurse Practitioner

  NPD
• Heritage Valley Multispecialty Group, Inc.

  dba Heritage Valley Convenient Care

  • Urgent Care Clinic/Center
  • Beaver Falls, PA
  • NPI 1700013976

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Valley Medical Facilities Inc

  dba Valley Medical Facilities Inc dba Heritage Valley Beaver

  • General Acute Care Hospital
  • Beaver, PA
  • NPI 1063422053
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  dba The Medical Center, Beaver, Family Practice Center

  • General Acute Care Hospital
  • Beaver Falls, PA
  • NPI 1306989983
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  dba Sewickley Valley Hospital, Staunton Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sewickley, PA
  • NPI 1528101458

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1801131727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHIPPEWA TOWN CTR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101204",
            "telephone_number": "724-770-7999",
            "fax_number": "724-843-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHIPPEWA TOWN CTR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101204",
            "telephone_number": "724-770-7999",
            "fax_number": "724-843-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOL",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr)
• Shaji Nair, MD
• Nardone Family Chiropractic
• Brian Dale Nelson
• Jordan Neusch, MSCP
• Linda M Nicolaus, PHARM.D.
• Jennifer Ninos, CCC-SLP
• Northern Health Facilities, Inc. (Beaver Valley Nursing & Rehabilitation Center)
• Nicholas James Notto, PHARMD
• Natalie Novak

• Nurse Practitioner in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.