Nicole Jordyn Deherde

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4487 Post PL Apt 49
Nashville, TN 37205-1623

Phone

(908) 914-1151

NPI assigned

Apr 15, 2020

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

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1912526286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 POST PL APT 49",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051623",
            "telephone_number": "908-914-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 POST PL APT 49",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051623",
            "telephone_number": "908-914-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHERDE",
        "first_name": "NICOLE",
        "middle_name": "JORDYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Eileen Degati
• David Vinh Degenhardt, DO
• Tiffany Jones Degrafinreid
• Benjamin Aaron Dehaven, M.D.
• Ashley Marie Deheide, APRN
• Benjamin Lawrnece Dehner, MD
• Walter N Dehority, MD
• Stephanie Deible, DNP
• Constance Richardson Deidiker, PA-C
• Jamie Nichole Deis, MD

• Student in an Organized Health Care Education/Training Program in Nashville, TN
• Providers in Nashville, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.