DEBORAH J NICHOLS (NPI# 1417394941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417394941 |
| Entity Type | Individual |
| Full Name | DEBORAH J NICHOLS |
| Credential | C-NP |
| Practice Address |
925 Trailwood Dr Youngstown OH 44512-5008 |
| Practice Telephone | 3307587575 |
| Practice Fax Number | 3307581833 |
| Mailing Telephone | 3307587575 |
| Mailing Fax Number | 3307581833 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.14412-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609036045 | Deborah Nichols | Home Health Aide | 390 Shawnee Rd, Otway, OH 45657-8886 | 2008-06-10 |
| 1174646236 | Deborah H. Nichols | Speech-Language Pathologist | 3165 Raines Ct, Pensacola, FL 32514-6268 | 2007-04-06 |
| 1962425389 | Deborah Ann Nichols | Nurse Practitioner | 200 W Frontier St, Suite M, Payson, AZ 85541-5362 | 2006-07-26 |
| 1336184985 | Deborah Ann Nichols | Social Worker | 110 Westwood Ave, Windsor, MO 65360-1227 | 2006-06-18 |
| 1760982821 | Deborah Nichols | Social Worker | 1515 E Broad St, Columbus, OH 43205-1550 | 2018-02-15 |
| 1447765524 | Deborah Elizabeth Nichols | Counselor | 5319 Sw Westgate Dr Ste 113, Portland, OR 97221-2432 | 2017-12-11 |
| 1255747580 | Deborah Nichols | Case Manager/Care Coordinator | 1313 Ringgold Ave, Coushatta, LA 71019-9078 | 2014-07-08 |
| 1962741371 | Deborah B. Nichols | Registered Nurse | 3809 Rosewood Dr, Columbia, SC 29205-3533 | 2013-02-05 |
| 1831422625 | Deborah Nichols | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2009-09-10 |
| 1508903204 | Deborah Ann Nichols | Dietitian, Registered | 475 Whirlaway Dr, Danville, KY 40422-9036 | 2007-01-31 |
| Street Address |
925 TRAILWOOD DR |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003806134 | Ghazaleh Bigdeli | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2005-10-28 |
| 1841583622 | Ryan Gregory Toolson | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2011-05-26 |
| 1770892713 | Michael A Apostolis | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2010-09-24 |
| 1861718256 | Ashlee Nicole Russo | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2010-04-11 |
| 1720205065 | Pulmonary Rehabilitation Associates | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2007-04-19 |
| 1437376621 | Pulmonary Medicine Consultants | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2007-04-19 |
| 1033216130 | Alan J Cropp | Internal Medicine | 925 Trailwood Dr, Box 14130, Youngstown, OH 44512-5008 | 2006-09-20 |
| 1083669154 | Theresa Sanderbeck-barone | Nurse Practitioner | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2006-05-24 |
| 1104887413 | Bryan Veynovich | Internal Medicine | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203765 | Kenneth E Smith | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2005-05-24 |
| 1770033250 | Bethany Grace Tittle | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-10-10 |
| 1013464080 | Kristie Elizabeth Miller | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2016-09-07 |
| 1447705058 | Amber Walden | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2016-08-24 |
| 1275985442 | Brittany Mancini | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-07-12 |
| 1356711139 | Talishia Marie Jones | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504 | 2015-10-06 |
| 1598135790 | Barbara A Walsh | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2015-09-30 |
| 1053789123 | Pamela Smith | Nurse Practitioner | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2015-09-08 |
| 1639547086 | Jennifer L. Barrett | Nurse Practitioner | 20 Ohltown Rd, Youngstown, OH 44515-2331 | 2015-09-02 |
| 1023406394 | Jason Sindledecker | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2015-01-08 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
Please comment or provide details below to improve the information on DEBORAH J 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.