Active NPI
Alec John Nichols
- Athletic Trainer
- Kansas City, MO
National Provider Identifier
1821656026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2019025955
- Practice address
- 1 Arrowhead Dr
Kansas City, MO 64129-1651 - Phone
- (913) 334-8719
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2019025955 | MO | Primary |
Addresses
Primary practice location
1 Arrowhead Dr
Kansas City, MO 64129-1651
Mailing address
16228 Juniper St
Overland Park, KS 66085-8530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019025955 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1821656026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16228 JUNIPER ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "660858530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ARROWHEAD DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641291651",
"telephone_number": "913-334-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ALEC",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2019025955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.