KELLY ANN NICHOLS (NPI# 1245889005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245889005 |
| Entity Type | Individual |
| Full Name | KELLY ANN NICHOLS |
| Credential | NP |
| Practice Address |
4 Hickory Ridge Rd Ste 600 Hillsboro MO 63050-5117 |
| Mailing Address |
3820 Country Club Dr Imperial MO 63052-3623 |
| Practice Telephone | 6364816040 |
| Mailing Telephone | 3147033115 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041459011 | IL | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 2005023391 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019038073 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881530 | Kelly Nichols | Nurse Practitioner | 140 E Delaware Ave, Newark, DE 19711-4605 | 2017-10-05 |
| 1649640764 | Kelly Hannon Nichols | Social Worker | 215 Dawley Rd, Fayetteville, NY 13066-2546 | 2015-10-01 |
| 1578803714 | Kelly M Nichols | Licensed Practical Nurse | 829 Scotch Mountain Rd, Delhi, NY 13753-2321 | 2013-02-26 |
| 1851396691 | Kelly B Nichols | Obstetrics & Gynecology | 8380 N. Tullis Avenue, Suite 300, Ste 310, Kansas City, MO 64158-5114 | 2005-06-17 |
| 1447709159 | Kelly Nichols | Nurse Practitioner | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2016-09-23 |
| 1104371418 | Kelly Amanda Merritt Nichols | Nurse Anesthetist, Certified Registered | 5200 Harry Hines Blvd, Dallas, TX 75235 | 2016-08-17 |
| 1235587452 | Kelly Nichols | Behavioral Analyst | 528 E Spokane Falls Blvd, Suite 14, Spokane, WA 99202-5081 | 2016-05-27 |
| 1629462627 | Kelly Nichols | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2015-03-27 |
| 1306108824 | Kelly A. Nichols | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2012-06-11 |
| 1295093748 | Kelly Ann Nichols | Audiologist | 1001 James St, Syracuse, NY 13203-2789 | 2012-05-02 |
| Street Address |
4 HICKORY RIDGE RD STE 600 |
| City | HILLSBORO |
| State | MO |
| Zip Code | 63050-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477684009 | Ivy Alwell | Registered Nurse | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2007-03-07 |
| 1083223200 | Samantha Mueller | Physician Assistant | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2020-07-23 |
| 1205478781 | Kelly Conn | Licensed Practical Nurse | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-16 |
| 1518509082 | Jean Osterwisxh | Case Manager/Care Coordinator | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-16 |
| 1366084832 | Amy Reese | Case Manager/Care Coordinator | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-16 |
| 1366084022 | Jami Griffin | Case Manager/Care Coordinator | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-15 |
| 1811492598 | Alicia Lynn Ott | Counselor | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2018-03-26 |
| 1477933067 | Elizabeth Abe | Dentist | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747118 | Jefferson Franklin Community Action Corp | Health Educator | 2 Merchants Dr, Hillsboro, MO 63050 | 2017-01-26 |
| 1073998266 | Lindsey Johnston | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2015-07-29 |
| 1952544017 | Kelli M. Fuller | Registered Nurse | 802 Mel Carnahan Dr Ste 215, Hillsboro, MO 63050 | 2009-04-18 |
| 1548444797 | Leonard Hughes Co Inc | Eyewear Supplier (Equipment, not the service) | 11339 Hwy 21, Hillsboro, MO 63050 | 2007-12-24 |
| 1275728305 | Shah Enterprises LLC | Health Maintenance Organization | 10640 Highway 21, Hillsboro, MO 63050 | 2007-09-12 |
| 1649487190 | James Reehten | Counselor | 473 Maple, Hillsboro, MO 63050 | 2007-05-16 |
| 1790856268 | Barbara Joyce Becherer | Counselor | 10814 Highway 21, C, Hillsboro, MO 63050 | 2006-11-13 |
| 1740255413 | Jason Fish | Dentist | #4 Hickory Ridge Rd, Suite 100, Hillsboro, MO 63050 | 2006-02-17 |
| 1619963253 | David John Stansfield | Family Medicine | 10279 Business 21, Hillsboro, MO 63050 | 2005-09-20 |
| 1417426933 | Lauren Pritchard | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2018-11-14 |
| Find all providers in zip 63050 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1831722743 | Abigail Joanne Thackston | Nurse Practitioner | 105 Danville Pike, Hillsboro, OH 45133-1204 | 2020-02-19 |
| 1780136986 | Marisa Gingerich | Nurse Practitioner | 1323 E Franklin St Ste 105, Hillsboro, TX 76645-2679 | 2016-11-04 |
| 1760857098 | Alicia N Wilson | Nurse Practitioner | 225 W Main St Unit B, Hillsboro, OH 45133 | 2015-12-11 |
| 1144607185 | Tracy Resibois-binkley | Nurse Practitioner | 1487 N High St Ste 102, Hillsboro, OH 45133-8496 | 2015-04-28 |
| 1083048474 | Angela Rae Hardy | Nurse Practitioner | 7594 Pea Ridge Rd, Hillsboro, OH 45133-8518 | 2013-08-21 |
| 1578905022 | Andrea K Howard | Nurse Practitioner | 160 Roberts Lane, Hillsboro, OH 45133 | 2013-07-25 |
| 1952654550 | Jaleen Lynn Klink | Nurse Practitioner | 1049 Sw Baseline St Ste D490, Hillsboro, OR 97123-3857 | 2012-10-19 |
| 1275821704 | Amy R Frasure | Nurse Practitioner | 104 Erin Court, Hillsboro, OH 45123 | 2011-07-19 |
| 1659502904 | Marsha Kay Mitchell | Nurse Practitioner | 11130 North Shore Dr., Hillsboro, OH 45133-8977 | 2009-08-05 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.