MARY NICHOLS (NPI# 1437469152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437469152 |
| Entity Type | Individual |
| Full Name | MARY NICHOLS |
| Credential | FNP |
| Practice Address |
1301 Sam Perry Blvd Fredericksburg VA 22401-8420 |
| Mailing Address |
1017 Colechester St Fredericksburg VA 22408 |
| Practice Telephone | 5407411061 |
| Practice Fax Number | 5407411096 |
| Mailing Telephone | 5408988839 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0017001572 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024105931 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144553074 | Mary A Nichols | Mechanotherapist | 195 - 1st Place N.w., Issaquah, WA 98027 | 2009-09-10 |
| 1407902299 | Mary E Nichols | Nurse Practitioner | 15005 Shady Grove Rd Ste 450, Rockville, MD 20850-6377 | 2007-01-26 |
| 1629032412 | Mary W Nichols | Nurse Practitioner | 76 Veterans Ave Bldg 30 Rm 202, Bath, NY 14810-0810 | 2006-04-17 |
| 1093348476 | Mary Etta Nichols | Case Manager/Care Coordinator | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-02-13 |
| 1881226355 | Mary L Nichols | Adult Companion | 1035 Portland Ave, Gladstone, OR 97027-2154 | 2020-02-12 |
| 1235789959 | Mary Alvin Nichols | Marriage & Family Therapist | 200 E Del Mar Blvd Ste 210, Pasadena, CA 91105-2551 | 2019-09-14 |
| 1679034813 | Mary Nichols | Behavior Technician | 2075 Lincoln Ave Ste D, San Jose, CA 95125-3513 | 2019-03-29 |
| 1770998189 | Mary Ann Nichols | Counselor | 190 Lime Quarry Rd, Ste #115, Madison, AL 35758-8962 | 2014-06-24 |
| 1447564216 | Mary Lorene Nichols | Marriage & Family Therapist | 451 Lytton Ave, Palo Alto, CA 94301-1535 | 2010-08-03 |
| 1063745271 | Mary Nichols | Counselor | 915 Rosa L Parks Blvd, Nashville, TN 37208-2621 | 2009-09-08 |
| Street Address |
1301 SAM PERRY BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-8420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290388 | Patrick L Neustatter | Family Medicine | 1301 Sam Perry Blvd, Fredericksburg, VA 22401 | 2006-01-23 |
| 1548650815 | Doris Yvett Johnson | Registered Nurse | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2015-01-26 |
| 1487089512 | Lloyd F. Moss Free Clinic | Clinic/Center | 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 | 2013-09-09 |
| 1023396892 | Fredericksburg Area Regional Health Council | Clinic/Center | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2011-07-28 |
| 1225358930 | Fredericksburg Area Regional Health Council | Clinic/Center | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2010-06-03 |
| 1821318775 | Donna Maria Bowser | Nurse Practitioner | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2010-06-02 |
| 1578603809 | Judith Price | Registered Nurse | 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 | 2007-02-07 |
| 1811052145 | Joan R Ellmore | Nurse Practitioner | 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614049 | Christina Jolene Macfarlane | Nurse Practitioner | 6313 Forest Grove Dr, Fredericksburg, VA 22407-6343 | 2020-09-23 |
| 1912548876 | Carina Leite | Nurse Practitioner | 2306 Plank Rd Ste 100, Fredericksburg, VA 22401-4902 | 2019-10-02 |
| 1821643081 | Emily Torres | Nurse Practitioner | 621 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-4567 | 2019-08-05 |
| 1316468465 | Samantha Martin | Nurse Practitioner | 1975 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 2017-06-29 |
| 1568904399 | Michele Lyn Lattimer | Nurse Practitioner | 2601 Fall Hill Avenue, Fredericksburg, VA 22401 | 2016-11-10 |
| 1457757460 | Karen Julia Gardella | Nurse Practitioner | 3038 Patriot Ln, Fredericksburg, VA 22408-1728 | 2014-11-18 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1801200357 | Brooke Renae Sparks | Nurse Practitioner | 10718 Ballantraye Dr., Fredericksburg, VA 22407 | 2014-06-12 |
| 1487096731 | Carol Elizabeth Drever | Nurse Practitioner | 1301 Sam Perry Boulevard (moss Free Clinic), Suite 100, Fredericksburg, VA 22401 | 2013-07-26 |
| 1649529025 | Carlene Gordon | Nurse Practitioner | 125 Olde Greenwich Drive, Suite 220, Fredericksburg, VA 22408-4010 | 2012-08-31 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on MARY 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.