Jordan Nickelson-Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5880 3Rd St Apt 504
San Francisco, CA 94124-3172

Phone

(510) 882-4611

NPI assigned

May 14, 2025

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1932990488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 3RD ST APT 504",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 3RD ST APT 504",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243172",
            "telephone_number": "510-882-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELSON-SMITH",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell T. Nicholson, MD
• Megan Nicholson
• Stuart Alistair Nicholson, MBBS
• Nick Levi a Professional Corporation
• Michael Nickelby
• Nora Phillips Nickerson, FNP
• Tricia L Nickerson, MFT INTERN
• Christopher Michael Nicklo, HAD
• James George Nickolopoulos, DPM
• Eva L Nickson

• Behavior Analyst in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.