Zaniyah Ann Nickerson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1300 Eagle Rd
St Davids, PA 19087-3617

Phone

(610) 341-5800

NPI assigned

Sep 7, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1831008564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E HAINES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381729",
            "telephone_number": "267-324-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EAGLE RD",
            "city": "ST DAVIDS",
            "state": "PA",
            "postal_code": "190873617",
            "telephone_number": "610-341-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "ZANIYAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysha Patriz Mallari, CRNP
• Carol Ann McFarland, LMT
• Andrea Melicharek, ATC
• Kelsey Rose Mello, MS, LAT, ATC
• Chuong Hoang Nguyen
• On Demand Urgent Care Group, PC
• Joseph Michael Palumbo
• David P Perkins, M.D.
• Planned Parenthood Southeastern Pennsylvania
• John D Post, ATC

• Student in an Organized Health Care Education/Training Program in St Davids, PA
• Providers in St Davids, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.