MR. WILLIAM NICHOLS (NPI# 1518962091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518962091 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM NICHOLS |
| Credential | DPM |
| Practice Address |
12940 Harriet Ave S Burnsville MN 55337-2680 |
| Mailing Address |
Po Box 426 Saint Francis MN 55070-0426 |
| Practice Telephone | 9528304061 |
| Mailing Telephone | 7634444111 |
| Mailing Fax Number | 7634444488 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2013-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 360 | MN | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
360 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 2728397 | 01 |
| MN | BCBS | 64D27NI | 01 |
| MN | UCARE | 106186 | 01 |
| MN | PREFERRED ONE | 980740974001 | 01 |
| MN | 113225300 | 05 | |
| MN | HEALTH PARTNERS | HP14063 | 01 |
| MN | ADMINASTAR | 0708630001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1790203560 | William G Nichols | Dentist | 2201 James St Ste A, Bellingham, WA 98225-4155 | 2017-08-31 |
| 1730425745 | William Nichols | Dentist | 191 Read St, Lovelady, TX 75851 | 2012-12-19 |
| 1346481041 | William Daniel Nichols Jr. | Acupuncturist | 1209 Esplanade, Suite #1, Chico, CA 95926-3397 | 2009-03-10 |
| 1245358258 | William Eugene Nichols Jr. | Chiropractor | 617 23rd St Ste 8b, Ashland, KY 41101-2845 | 2007-03-27 |
| 1891838751 | William Nichols | Marriage & Family Therapist | 720 Wood Sreet, Eureka, CA 95501-4413 | 2007-02-14 |
| 1063522688 | William J Nichols | Counselor | 301 S Center St, Ste, 214, Arlington, TX 76010-7139 | 2006-08-30 |
| 1215994876 | William Charles Nichols | Psychologist | 623 N Walnut St, Harrison, AR 72601-3617 | 2006-04-27 |
| 1659373108 | William E Nichols | Pediatrics | 4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 | 2005-08-15 |
| 1871054353 | William James Nichols | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2019-03-27 |
| Street Address |
12940 HARRIET AVE S |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015244 | Debra Miller | Hearing Instrument Specialist | 12940 Harriet Ave S, Burnsville, MN 55337-2680 | 2016-10-28 |
| 1962838706 | On-site Podiatry, Inc. | Podiatrist | 12940 Harriet Ave S, Ste 230, Burnsville, MN 55337-2680 | 2013-09-25 |
| 1588894802 | Neve Inc | Audiologist-Hearing Aid Fitter | 12940 Harriet Ave S, Ste 110, Burnsville, MN 55337-2680 | 2009-07-21 |
| 1700054376 | Plus Center Inc. | Day Training, Developmentally Disabled Services | 12940 Harriet Ave S, Suite 215, Burnsville, MN 55337-2680 | 2008-02-15 |
| 1609095629 | Child Psychology Services, LLC | Community/Behavioral Health | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2007-04-25 |
| 1396864658 | Karlynn Lee Benson | Chiropractor | 12940 Harriet Ave S, Suite 240, Burnsville, MN 55337-2680 | 2007-03-28 |
| 1316084270 | Piccolino Psychological Services, Pa | Psychologist | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2007-01-31 |
| 1225123946 | Joy Pamela Piccolino | Psychologist | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2006-10-04 |
| 1558469353 | Laura Sullivan Ehlert | Psychologist | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962838706 | On-site Podiatry, Inc. | Podiatrist | 12940 Harriet Ave S, Ste 230, Burnsville, MN 55337-2680 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1114351376 | Katie R Evans | Podiatrist | 616 9th St N, Virginia, MN 55792-2320 | 2013-08-23 |
| 1750627048 | Cambridge Foot and Ankle Clinic LLC | Podiatrist | 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855 | 2012-12-14 |
| 1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
| 1063704807 | Midwest Foot and Ankle Specialists, LLC | Podiatrist | 11901 Central Ave Ne, Blaine, MN 55434-3911 | 2011-05-12 |
| 1215231428 | Robika Hundal | Podiatrist | 6600 Lyndale Ave South, Suite #130, Richfield, MN 55423-3398 | 2011-01-03 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1407009483 | Aero Podiatrics, Inc. | Podiatrist | 1668 142nd Ct W, Rosemount, MN 55068-3595 | 2008-11-04 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on MR. WILLIAM 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.