Vernise Nicholas

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1365 E Parks Highway
Wasilla, AK 99654-8298

Phone

(907) 357-6445

Fax

(907) 376-6402

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Vernise Wansley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• SW Ms Mental Health Mental Retardation Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McComb, MS
  • NPI 1184662694
  NPD
• Southwest Mississippi Mental Health Mental Retardation Commission

  dba SW Ms Mental Health Region XI

  • Social Worker
  • McComb, MS
  • NPI 1366694820
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1821649708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 E PARKS HIGHWAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548298",
            "telephone_number": "907-357-6445",
            "fax_number": "907-376-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 E PARKS HIGHWAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548298",
            "telephone_number": "907-357-6445",
            "fax_number": "907-376-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "VERNISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERNISE",
            "last_name": "WANSLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nfal LLC
• Enos Cheruiyot Ngetich, RN, NP-C
• Deaundra Nicholai
• Marla Nicholai
• Nicholas Boyce DMD LLC
• Hayden Matthew Niekamp, DPT
• Sarah Elizabeth Nielsen, APRN, IFMCP, DNP
• Sarah J Nieman
• Michael Nienow, DPT, PT
• Ariel Niles, LMT

• Community Health Worker in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.