Carol M Nicholson, CAROL NICHOLSON,ED.M

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

156 Frontenac Ave
Buffalo, NY 14216-1929

Phone

(716) 833-6710

NPI assigned

Oct 22, 2008

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

Other names 1

• Mrs. Carol M Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1871745745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 FRONTENAC AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161929",
            "telephone_number": "716-833-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 FRONTENAC AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161929",
            "telephone_number": "716-833-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "CAROL NICHOLSON,ED.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "NICHOLSON",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "CAROL MALYSZKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen Nicander
• Nice Ride Transportation, Inc.
• Brienne Nichols
• Meghan Elizabeth Nichols, PT, DPT
• Shannon Raye Nichols
• Erica Nicholson
• Sarah Elizabeth Nicholson, LMSW
• Tiffany Nicholson, NURSE PRACTITIONER
• Nickel City Group, LLC
• Nickel City Pharmacy Inc

• Contractor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.