Stephanie D Nichols, RN, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13089 Issued in TN

Practice address

1621 W Morris Blvd
Suite B
Morristown, TN 37813-2966

Phone

(423) 587-2443

Fax

(423) 586-9988

NPI assigned

Nov 26, 2007

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1841471489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132966",
            "telephone_number": "423-587-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132966",
            "telephone_number": "423-587-2443",
            "fax_number": "423-586-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "100051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnie Elmer Newberry Jr., PT
• Edith Newman Ramirez, CPHT
• Dan-Huy Nguyen, PHARMD
• Quynh Nguyen, PHARMD
• Olivia Nichols
• Teresa Nichols, RN
• Connie Nickelson, MD
• Mary Beth Nicley, R.N.
• Joshua Nida, PHARMD
• Jackie C Noah, PA-C

• Family Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.