Jeff Smith Nichols, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-17129 Issued in KS

Practice address

1023 Kentucky St
Lawrence, KS 66044-2917

Phone

(785) 842-6500

Fax

(785) 843-3219

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1871655019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 KENTUCKY ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442917",
            "telephone_number": "785-842-6500",
            "fax_number": "785-843-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 KENTUCKY ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442917",
            "telephone_number": "785-842-6500",
            "fax_number": "785-843-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JEFF",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-17129",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-17129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Nguutu, PHARMD
• Khanh Van Nguyen
• Quang My Nguyen
• Patrick James Nicholas
• Callie Marie Nichols
• Lorraine Nichols, D.O.
• Cheyenne Nickelson, PT, DPT
• Suzanne Nicolet, LMSW
• Kathryn Niedzwiecki
• Karin Nielsen, MSPT

• Psychiatry Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.

Verify at the official NPI Registry.