Shelly Leigh Nichols, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

304120 Issued in OH

Practice address

435 Tidd Hollow Rd
Piketon, OH 45661-9671

Phone

(740) 352-8300

NPI assigned

Sep 20, 2012

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1992056626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 TIDD HOLLOW RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619671",
            "telephone_number": "740-352-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 TIDD HOLLOW RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619671",
            "telephone_number": "740-352-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SHELLY",
        "middle_name": "LEIGH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "304120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Moore
• Misty Dawn Murray, MA, CCC/SLP
• Kira Mustard
• Alyssa Lee Newman, LSW
• Judy Nichols
• Sean T O'Day, DMD
• Tifany Len O'Rourke, LSW, CDCA
• Amber Ohlinger
• Cathie NMN Osborn, RN
• Debra Kay Osborne

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.