Elaine E Nichols, R.N., C.N.S.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN092242 Issued in OH

Practice address

3957 Burgundy Bay Blvd W
Medina, OH 44256-8278

Phone

(330) 618-2573

NPI assigned

Jan 23, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1962482182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 BURGUNDY BAY BLVD W",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568278",
            "telephone_number": "330-618-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 BURGUNDY BAY BLVD W",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568278",
            "telephone_number": "330-618-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ELAINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "R.N., C.N.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN092242",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "NS04474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Newark
• Jarred Newmyer
• Chris NG
• Anh-Steve Huy Nguyen, D.D.S
• Trang Thi Thu Nguyen
• Jennie Elizabeth Nichols, D.D.S.
• Jodi Lynn Nichols
• Jovianna Nichols
• Zoeigh David Nichols
• Dawn Elaine Nilsson, PTA

• Registered Nurse in Medina, OH
• Providers in Medina, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.