Active NPI
Joni C Nichols, M.D.
- Medical Oncology Physician
- Spokane, WA
National Provider Identifier
1861481079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD00031213
- Practice address
- 601 S Sherman St
Spokane, WA 99202-1311 - Phone
- (509) 228-1000
- Fax
- (509) 252-9300
- NPI assigned
- Oct 19, 2005
- Last updated
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD00031213 | WA | Primary |
Addresses
Primary practice location
601 S Sherman St
Spokane, WA 99202-1311
Mailing address
PO Box 3868
Spokane, WA 99220-3868
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8149726 | Medicaid | WA | |
| 000010007199 | Other | BLUE SHIELD OF IDAHO | |
| 104202 | Other | WA | LABOR & INDUSTRIES |
| 4330488 | Other | AETNA | |
| K4760 | Other | BLUE CROSS OF IDAHO | |
| NI3252 | Other | ASURIS NW HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Spokane Palliative Care & Mobile Medicine of Spokane
- Community Based Hospice Care Agency
- Spokane, WA
- NPI 1760475255
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1861481079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3868",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S SHERMAN ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021311",
"telephone_number": "509-228-1000",
"fax_number": "509-252-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "JONI",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD00031213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8149726",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010007199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "104202",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4330488",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "K4760",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NW HEALTH",
"identifier": "NI3252",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.