RICHARD D. NICHOLS (NPI# 1578709630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578709630 |
| Entity Type | Individual |
| Full Name | RICHARD D. NICHOLS |
| Credential | LPN |
| Practice Address |
Us Hwy 491 North Shiprock NM 87420-0160 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686401 |
| Practice Fax Number | 5053686431 |
| Mailing Telephone | 5053686401 |
| Mailing Fax Number | 5053686431 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 30775 | MT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902094527 | Richard E Nichols | Dentist | 460 Park County Road 43, Crow Hill Family Dental, Bailey, CO 80421 | 2007-10-09 |
| 1164553798 | Richard Edward Nichols Jr. | Dentist | 7210 Greenhaven Dr, Suite D, Sacramento, CA 95831-3576 | 2007-03-07 |
| 1629184791 | Richard Dale Nichols | Dentist | 552 S Trimble Rd, Mansfield, OH 44906-3418 | 2006-08-22 |
| 1831173624 | Richard Alden Nichols | Dentist | Us Army Dental Activity Bavaria, Unit 28038, Apo, AE 09112 | 2005-12-05 |
| 1255997326 | Richard Nichols | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2019-05-14 |
| 1194227249 | Richard Cory Nichols | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2018-03-05 |
| 1588046593 | Richard Houston Nichols | Physical Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2015-06-25 |
| 1780849562 | Richard Evan Nichols | Radiology | 1501 S California Ave, Chicago, IL 60608-1732 | 2008-07-22 |
| 1417000209 | Richard Nichols | Dentist | 9110 Philadelphia Rd, Suite 214, Baltimore, MD 21237-4301 | 2007-01-18 |
| 1619082294 | Richard Alan Nichols | Podiatrist | 1600 Lancaster Dr, Suite 102, Grapevine, TX 76051-3579 | 2006-08-21 |
| Street Address |
US HWY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636191 | Jason Boyd Girouard | Nurse Anesthetist, Certified Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2005-08-10 |
| 1215550843 | Kaitlin A Philipsen | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2020-05-18 |
| 1417517533 | Ethan Fahrney | Occupational Therapist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-20 |
| 1124687884 | Kia Yang | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-06 |
| 1700346095 | Laura Bodnar | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-03-22 |
| 1275006116 | Billie Don Evans IIi | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-01-03 |
| 1093287609 | Ivan Teodoro Chia | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2018-12-20 |
| 1467944041 | Elysia Ison | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-05-31 |
| 1407343809 | Pamela Bryan | Social Worker | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-20 |
| 1164919304 | Jerren Michael Alcalde | Dentist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018683 | Catherine Manus | Licensed Practical Nurse | Hwy 64 Old High School Road, 1199, Shiprock, NM 87420-1199 | 2016-12-29 |
| 1295919975 | Carol Flute | Licensed Practical Nurse | Us Hwy 491 North, Shiprock, NM 87420 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864778 | Christina Averhart | Licensed Practical Nurse | 6739 Academy Rd Ne Ste 250, Albuquerque, NM 87109-3357 | 2019-11-06 |
| 1760947402 | Jessica Lynn Bell | Licensed Practical Nurse | 997 Player Loop Se, Rio Rancho, NM 87124-5802 | 2019-02-06 |
| 1104399914 | Shannon Bailey | Licensed Practical Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-03 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1598272965 | Soraida Sanchez | Licensed Practical Nurse | 1227 N Railroad Ave Ste C, Espanola, NM 87532-3159 | 2018-01-06 |
| 1700393766 | Stacy Jaque Vigil | Licensed Practical Nurse | 213 Chico Dr, Las Vegas, NM 87701-9511 | 2017-12-29 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1477943009 | Jeremy Martinez | Licensed Practical Nurse | 208 Guachupangue Rd, Espanola, NM 87532 | 2015-02-04 |
| 1750794426 | Lori Y Rodriguez | Licensed Practical Nurse | 1923 Morris Pl, Santa Fe, NM 87505-5466 | 2014-06-10 |
| 1225448665 | Integrated Healthcare Services, LLC | Licensed Practical Nurse | 9745 Hardrock Rd, Las Cruces, NM 88011-9338 | 2014-05-07 |
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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.