Active NPI
Morgan Lynn Nichelson
- Specialist
- Vero Beach, FL
National Provider Identifier
1891947826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 50698
- Practice address
- 1281 Old Dixie Hwy
Vero Beach, FL 32960-3746 - Phone
- (772) 569-4247
- Fax
- (772) 569-4274
- NPI assigned
- Oct 22, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 50698 | FL | Primary |
Addresses
Primary practice location
1281 Old Dixie Hwy
Vero Beach, FL 32960-3746
Mailing address
930 32ND Ave SW
Vero Beach, FL 32968-5031
Phone (772) 321-2026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 50698 | FL | MD | Specialist |
NPI Registry JSON
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": "1891947826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 32ND AVE SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329685031",
"telephone_number": "772-321-2026",
"fax_number": "772-562-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 OLD DIXIE HWY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603746",
"telephone_number": "772-569-4247",
"fax_number": "772-569-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHELSON",
"first_name": "MORGAN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 50698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- 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.