Active NPI
Kayla Anne Nichols, PHARMD, BCCCP
- Critical Care Pharmacist
- Atlanta, GA
National Provider Identifier
1982233227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- RPH029229
- Practice address
- 1365 Clifton Rd NE
Atlanta, GA 30322-1013 - Phone
- (904) 392-9588
- NPI assigned
- Apr 8, 2020
- 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 |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | RPH029229 | GA | Primary |
Addresses
Primary practice location
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Mailing address
361 17TH St NW Unit 2013
Atlanta, GA 30363-1090
Phone (904) 392-9588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS55118 | Other | FL | FLORIDA PHARMACIST LICENSE |
| RPH029229 | Other | GA | GEORGIA PHARMACIST LICENSE |
| 7152015 | Other | BOARD OF PHARMACY SPECIALTIES BCCCP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kayla.nichols@emoryhealthcare.org | Direct |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029229 | GA | MD | Critical Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1982233227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 17TH ST NW UNIT 2013",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303631090",
"telephone_number": "904-392-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "904-392-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "KAYLA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHARMD, BCCCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "GA",
"license": "RPH029229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA PHARMACIST LICENSE",
"identifier": "PS55118",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA PHARMACIST LICENSE",
"identifier": "RPH029229",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY SPECIALTIES BCCCP",
"identifier": "7152015",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayla.nichols@emoryhealthcare.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Atlanta",
"address_1": "1365 Clifton Rd NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303221013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.