MR. JOHN THOMAS NICHOLS (NPI# 1316598279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316598279 |
| Entity Type | Individual |
| Full Name | MR. JOHN THOMAS NICHOLS |
| Credential | CRNP |
| Practice Address |
1015 Medical Center Pkwy Selma AL 36701-6748 |
| Mailing Address |
3159 Sawyer Dr Hoover AL 35226-7002 |
| Practice Telephone | 3344184150 |
| Mailing Telephone | 3346541409 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801063896 | John Wesley Nichols | Counselor | 106 S Jefferson St, Kaufman, TX 75142-1928 | 2008-05-09 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1154499382 | John R Nichols | Dentist | 28 N Tipton, Munford, TN 38058 | 2006-12-04 |
| 1295741346 | John Dale Nichols | Chiropractor | 8608 E State Road 70, Bradenton, FL 34202-3785 | 2006-07-31 |
| 1548248529 | John Edwin Nichols Jr. | Specialist | 17 Caledon Ct, Suite C, Greenville, SC 29615-3170 | 2006-01-09 |
| 1760478937 | John N Nichols | Radiology | 600 S 3rd St, Gadsden, AL 35901-5304 | 2005-09-23 |
| 1467459933 | John Tibbals Nichols | Counselor | 205 N Front St, Georgetown, DE 19947-1129 | 2005-06-30 |
| 1548741598 | John Drew Nichols | Counselor | 401 West Main Street, Barnsdall, OK 74002 | 2018-08-28 |
| 1144709957 | John Nichols II | Behavior Technician | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2018-08-13 |
| 1437666294 | John Nichols | Hospitalist | 1000 Health Center Dr, Mattoon, IL 61938 | 2018-01-02 |
| Street Address |
1015 MEDICAL CENTER PKWY |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009539 | Deana Lynne Abernathey | Nurse Anesthetist, Certified Registered | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2005-08-04 |
| 1982203329 | Amanda Dawn Atcheson | Student in an Organized Health Care Education/Training Program | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2020-10-17 |
| 1639792153 | Vaughan Regional Anesthesia LLC | Anesthesiology | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2020-05-19 |
| 1346732641 | Benjamin Jay Sweet | Physician Assistant | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2018-06-01 |
| 1326553264 | Deborah Jenkins Kidd | Nurse Practitioner | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2017-12-13 |
| 1154845535 | Reneka Kiera Polk | Nurse Practitioner | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2017-07-27 |
| 1043606577 | Terry Dunson | Nurse Practitioner | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2015-04-10 |
| 1316352826 | Kenneth Crosswhite | Nurse Anesthetist, Certified Registered | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2014-06-23 |
| 1104262344 | Aditya Kumar Nirmal | Emergency Medicine | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2013-05-15 |
| 1326244997 | Integrity Emergency Care, Inc. | Emergency Medicine | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2007-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1245799550 | Jose David Orozco | Student in an Organized Health Care Education/Training Program | 13661 S Van Horn Ave, Selma, CA 93662-9475 | 2019-03-16 |
| 1629351291 | Kamarn Toqeer Ahmad | Student in an Organized Health Care Education/Training Program | 1023 Med Ctr Pkwy Ste 200, Selma, AL 36701-7739 | 2011-09-21 |
| 1982203329 | Amanda Dawn Atcheson | Student in an Organized Health Care Education/Training Program | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2020-10-17 |
| 1154949543 | Munazzah Abdullah | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-07-11 |
| 1740804848 | Diedra Michelle Joseph Baker | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-06-04 |
| 1093335945 | Sheriff Olufemi Shittu | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-21 |
| 1063032969 | Christopher Reyes Caangay | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-21 |
| 1790304681 | Letitia Jackson | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-10 |
| 1962032482 | Benjamin Lamar Jones | Student in an Organized Health Care Education/Training Program | 15 Deerfield Rd, Selma, AL 36701-8339 | 2020-01-23 |
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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.