Indira V Nicholas, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11032350 Issued in FL

Practice address

17961 NW 13TH St
Pembroke Pines, FL 33029-3131

Phone

(305) 331-3437

NPI assigned

Nov 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1831915313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17961 NW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293131",
            "telephone_number": "305-331-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17961 NW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293131",
            "telephone_number": "305-331-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "INDIRA",
        "middle_name": "V",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11032350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy-Lan Duong Nguyen, O.D.
• Tien Nguyen, O.D.
• Tuyet Nguyen, PHARMD
• Van H. Nguyen, M.D.
• Vu Minh Nguyen, LIC. ACUPUNCTURE
• Nikita-Charisma Janelle Nicholas, LMHC, LPC, CAP
• Nicklaus Children'S Pediatric Specialists, LLC
• Nicklaus Children'S Pediatric Specialists, LLC
• Cassandra Nicloas
• Nicole Nicodemo, PT

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.