David Andrew Nickels, M.D,

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

MD0000026420 Issued in TN

Practice address

2018 Clinch Ave, South Tower
2ND Floor
Knoxville, TN 37916

Phone

(865) 971-7400

Fax

(865) 541-8611

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1861591562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37901",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 CLINCH AVE, SOUTH TOWER",
            "address_2": "2ND FLOOR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-971-7400",
            "fax_number": "865-541-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Clinch Ave",
            "address_2": "Ste. 140",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162219",
            "country_code": "US",
            "telephone_number": "865-971-7400",
            "fax_number": "865-546-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TN",
            "license": "MD0000026420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090947",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3029183",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Pittman Nicholson, MD
• Catherine Porter Nicholson, PNP
• Rebecca Goldston Nicholson, FNP-BC
• Carla M Nickel Gee, CRNA
• Karen K Nickell, FNP
• Kevin Nickens, FNP-BC
• Todd A. Nickloes, D.O.
• Bruce Michael Nicoara, DPT
• Dorilynn Nicol, DNP, CRNA, APRN
• Todd B Nidiffer, CRNA

• Pediatric Endocrinology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Endocrinology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.