Thomas Craig Nikkel, MDIV

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

46 Race St
San Jose, CA 95126-3130

Phone

(408) 961-9851

NPI assigned

Jan 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Friar Nicolas Maria Professional name

Electronic endpoints 1

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": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1811602220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E CAPITOL EXPY # 711",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951212415",
            "telephone_number": "650-906-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RACE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263130",
            "telephone_number": "408-961-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKKEL",
        "first_name": "THOMAS",
        "middle_name": "CRAIG",
        "credential": "MDIV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Salesforce",
            "affiliation": "N",
            "endpointDescription": "Database CRM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "46 Race St",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951263130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FRIAR NICOLAS",
            "last_name": "MARIA",
            "credential": "MDIV, CFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sharanjit Kaur Nijjar
• Jessica Nijmeh, M.D.
• Lourise Merna Nijmeh
• Tamara Nijmeh, RDN
• Helen Nikitin, LICSW
• Angelica Niklowitz
• Chrystala Nikolaou, M.A.-CCC-SLP
• Simin Niksiar
• Jasmine Nikzai
• Nilda Vergara M.D. a Medical Corporation

• Case Manager/Care Coordinator in San Jose, CA
• Providers in San Jose, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.