DR. KATHERINE MARIE NICHOLS (NPI# 1295991313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295991313 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MARIE NICHOLS |
| Credential | M.D. |
| Practice Address |
100 Mallard Creek Rd Ste 406 Louisville KY 40207-4194 |
| Practice Telephone | 5028954607 |
| Practice Fax Number | 5028954586 |
| Mailing Telephone | 5028954607 |
| Mailing Fax Number | 5028954586 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 44258 | KY | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
44258 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201028960 | 05 | |
| KY | 7100164170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972040368 | Katherine Nichols | Behavioral Analyst | 10143 Glade Ave, Chatsworth, CA 91311-2811 | 2017-01-24 |
| 1851546485 | Katherine Ann Nichols | Social Worker | 64-18 32 Avenue, Woodside, NY 11377 | 2008-11-24 |
| 1013956366 | Katherine M. Nichols | Clinical Nurse Specialist | 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 | 2006-06-05 |
| 1588632020 | Katherine Virginia Nichols | Pediatrics | 1212 Mcconville Road, Lynchburg, VA 24502-4536 | 2006-03-10 |
| 1396158143 | Katherine Nichols | Internal Medicine | 55 Fruit Street, Yawkey 3b, Boston, MA 02114-2696 | 2014-06-10 |
| 1497075501 | Katherine Therese Nichols | Dentist | 702 Barnhill Dr, Suite 4205, Indianapolis, IN 46202-5128 | 2010-06-11 |
| 1316088156 | Katherine Kern Nichols | Pediatrics | 2401 Village Professional Pkwy, Opelika, AL 36801-4702 | 2007-02-12 |
| Street Address |
100 MALLARD CREEK RD STE 406 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285622779 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 100 Mallard Creek Rd, Suite 150, Louisville, KY 40207-4194 | 2005-10-10 |
| 1497130017 | Phyllis Eugenia Moore | Nurse Practitioner | 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 | 2015-07-24 |
| 1104213388 | Chad C Lanphear | Anesthesiologist Assistant | 100 Mallard Creek Rd, Louisville, KY 40207-4194 | 2015-04-24 |
| 1598163958 | Paige Faye Eggers | Registered Nurse | 100 Mallard Creek Rd, Suite 320, Louisville, KY 40207-4194 | 2014-12-16 |
| 1407271562 | Brittney Leigh Porter | Registered Nurse | 100 Mallard Creek Rd, Suite 320, Louisville, KY 40207-4194 | 2014-02-26 |
| 1548691876 | Heath Webb Perkins | Registered Nurse | 100 Mallard Creek Rd, Suite 320, Louisville, KY 40207-4194 | 2013-12-12 |
| 1184066474 | Alison Elizabeth Hewett | Nurse Practitioner | 100 Mallard Creek Rd, Ste. 320, Louisville, KY 40207-4194 | 2013-07-27 |
| 1457795734 | David J Roach | Emergency Medicine | 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-5166 | 2013-04-17 |
| 1831434505 | Lori Sexton | Specialist/Technologist, Other | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2012-12-06 |
| 1790020469 | Hanna Vaughn | Specialist/Technologist, Other | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386008381 | Dominique Elmore | Pediatrics | 231 E Chestnut St, Louisville, KY 40202 | 2016-04-06 |
| 1043672256 | Kasi Ann Eastep | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2016-03-26 |
| 1750728499 | Andrew Robert Buckley | Pediatrics | 411 E Chestnut St, Louisville, KY 40202-1713 | 2013-06-03 |
| 1942567714 | Cody Hunter Penrod | Pediatrics | 231 E Chestnut St, Louisville, KY 40202 | 2012-04-18 |
| 1245350024 | Baptist Medical Associates Inc | Pediatrics | 13117 Eastpoint Park Blvd, Suite D, Louisville, KY 40223-4193 | 2007-03-29 |
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on DR. KATHERINE MARIE NICHOLS.
| 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.