DR. AMY J. NICHOLS (NPI# 1487807814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487807814 |
| Entity Type | Individual |
| Full Name | DR. AMY J. NICHOLS |
| Credential | M.D. |
| Practice Address |
2960 Tongass Ave Ketchikan AK 99901-5742 |
| Practice Telephone | 9072284900 |
| Practice Fax Number | 8008523264 |
| Mailing Telephone | 9072284900 |
| Mailing Fax Number | 8008523264 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 010 671 22A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215433479 | Amy Susan Nichols | Developmental Therapist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2018-04-04 |
| 1821305020 | Amy Elizabeth Nichols | Speech-Language Pathologist | 3285 Martin Rd Ste 104, Commerce Township, MI 48390-1601 | 2010-09-09 |
| 1922270248 | Amy Nichols | Nurse Practitioner | 2102 Quicksilver Blvd, Austin, TX 78744-5659 | 2008-03-26 |
| 1427083518 | Amy N Nichols | Social Worker | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2006-07-11 |
| 1750981064 | Amy Renee Nichols | Homemaker | 1205 Broad St, Summersville, WV 26651-1805 | 2020-10-27 |
| 1457992364 | Amy E. Nichols | Pharmacist | 4065 S Redwood Rd, Salt Lake City, UT 84123-1131 | 2019-10-01 |
| 1821588799 | Amy Nichols | Counselor | 233 Needham St, Newton, MA 02464-1573 | 2018-05-15 |
| 1508361239 | Amy L Nichols | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2018-03-26 |
| 1679087340 | Amy Pearson Nichols | Counselor | 1020 E Ogden Ave, Naperville, IL 60563-8609 | 2017-11-16 |
| 1487052957 | Amy C Nichols | Audiologist | 5721 Usa Dr N, Mobile, AL 36688-0002 | 2014-12-15 |
| Street Address |
2960 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315109 | Kathryn Lynn Price | Family Medicine | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2005-09-06 |
| 1427668300 | Morgan Wayne Holmes | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2020-08-05 |
| 1073177424 | Maxx Ritchie Keizer | Pharmacist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2019-04-30 |
| 1043763824 | Ying Kwok | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2016-07-28 |
| 1780036491 | Andrea A. Lui | Family Medicine | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2016-07-06 |
| 1912370347 | Pamela Lee Rogers | Nurse Practitioner | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2015-11-06 |
| 1356745723 | Megan Hanifin | Counselor | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-10-14 |
| 1396153649 | Ketchikan Indian Corporation | Clinic/Center | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-07-31 |
| 1427460997 | Gerry Balluta | Case Manager/Care Coordinator | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-06-02 |
| 1447670393 | Kristin Santroch | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901 | 2014-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467708271 | Kevin Arthur Hall | General Practice | 25 Jefferson Way, Suite 102, Ketchikan, AK 99901-5953 | 2012-07-30 |
| 1518231968 | Tarra Wasilchen | General Practice | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2012-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659846293 | Premier Sports Medicine, Inc. | General Practice | 35670 Kenai Spur Hwy Ste 104, Soldotna, AK 99669-7649 | 2018-10-10 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1245763051 | Carlos Vargas | General Practice | 927 1st Ave, Fairbanks, AK 99701-4350 | 2017-04-07 |
| 1750730594 | Medical Group of Alaska | General Practice | 3190 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7422 | 2016-06-10 |
| 1831580604 | Johnna L Kohl Md LLC | General Practice | 4001 Dale St Ste 201, Anchorage, AK 99508-5445 | 2015-02-13 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1598199028 | Nina Rodriguez | General Practice | 786 D St, Jber, AK 99505 | 2013-09-03 |
| 1518207992 | George Walter Seuffert Sr. | General Practice | Mile 75, Steese Hwy, Box 10297, Fairbanks, AK 99710 | 2013-02-22 |
| 1063797827 | George Baryon Hightower | General Practice | Hc 89 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2011-10-12 |
| 1912295411 | Chadwick William Gaddis | General Practice | 4076 Neely Rd., Ft. Wainwright, AK 99703 | 2011-07-18 |
| Find all providers with the same taxonomy | ||||
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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.