Individual provider Active NPI

Nicole Howard, FNP

  • Family Nurse Practitioner
  • Smyrna, DE
National Provider Identifier
1801351564
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001175 Issued in DE
Practice address
100 S Main St Ste 205
Smyrna, DE 19977-1479
Phone
(302) 653-6022
Fax
(302) 389-1094
NPI assigned
Feb 7, 2019
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0001175 DE
Family Nurse Practitioner 363LF0000X LG-0001175 DE Primary
Registered Nurse 163W00000X L1-0039291 DE

Addresses

Primary practice location

100 S Main St Ste 205
Smyrna, DE 19977-1479

Mailing address

419 Weston Dr
Middletown, DE 19709-1715
Phone (302) 233-1758

Other practice location 1

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191014003332 DE Practitioner - Nurse Practitioner 2567793029 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0039291DEMDRegistered Nurse
LG-0001175DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners CurrentSince Oct 7, 2024 Accepting new patients
Urgent Care Plus, LLC CurrentSince Aug 18, 2024 Accepting new patients
Abby Medical, LLC CurrentSince Mar 10, 2024 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

200 Banning St
Ste 170
Dover, DE 19904
Phone (302) 674-1999

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

100 S Main St
Ste 205
Smyrna, DE 19977
Phone (302) 653-6022

3234 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 547-4742

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

Interoperability endpoints

  • Direct secure messaging: nicole.howard.1@30692.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1801351564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WESTON DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091715",
            "telephone_number": "302-233-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 205",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771479",
            "telephone_number": "302-653-6022",
            "fax_number": "302-389-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hygeia Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132049",
            "country_code": "US",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001175",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0039291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.