Active NPI
Laura Nichols, LM
- Midwife
- Hidden Valley Lake, CA
National Provider Identifier
1992003602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM293
- Practice address
- 17921 Moon Hill CT
Hidden Valley Lake, CA 95467-8097 - Phone
- (707) 350-0236
- Fax
- (707) 987-3166
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | LM293 | CA | Primary |
Addresses
Primary practice location
17921 Moon Hill CT
Hidden Valley Lake, CA 95467-8097
Mailing address
17921 Moon Hill CT
Hidden Valley Lake, CA 95467-8097
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 |
|---|---|---|---|
| LM293 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1992003602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17921 MOON HILL CT",
"city": "HIDDEN VALLEY LAKE",
"state": "CA",
"postal_code": "954678097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17921 MOON HILL CT",
"city": "HIDDEN VALLEY LAKE",
"state": "CA",
"postal_code": "954678097",
"telephone_number": "707-350-0236",
"fax_number": "707-987-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "LAURA",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hidden Valley Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.