MRS. JACKI NICHOLS (NPI# 1669985198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669985198 |
| Entity Type | Individual |
| Full Name | MRS. JACKI NICHOLS |
| Credential | SA-C |
| Practice Address |
5055 N Rock Canyon Rd Tucson AZ 85750-6003 |
| Practice Telephone | 5205770293 |
| Mailing Telephone | 5205770293 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2019-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5055 N ROCK CANYON RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85750-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538668827 | Rock Canyon First Assisting, LLC | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125490 | Arizona Medical Specialty Group, LLC | Nurse Practitioner | 5590 E River Rd., Suite 101, Tucson, AZ 85750 | 2020-05-07 |
| 1962858936 | Honu Counseling Pllc | Community/Behavioral Health | 5855 North Kolb Road Unit 4208, Tucson, AZ 85750 | 2016-05-10 |
| 1750653341 | Patricia Jean Heese | Occupational Therapist | 5410 N Grey Moutain Tr, Tucson, AZ 85750 | 2012-01-30 |
| 1184911257 | Collaborative Associates In Surgical Assisting | Registered Nurse | 5601 E. Camino Del Celador, Tucson, AZ 85750 | 2011-07-08 |
| 1841468584 | Shelly Kay Surber | Nurse Practitioner | Minute Clinic, 6895 E Sunrise Dr., Tucson, AZ 85750 | 2008-02-15 |
| 1982788121 | Laurie Beth Weston | Psychiatry & Neurology | 7921 E Presidio Road, Tucson, AZ 85750 | 2006-10-24 |
| 1518050624 | David Stuart Thompson | Psychiatry & Neurology | 5661 East Shadow View Ct, Tucson, AZ 85750 | 2006-10-02 |
| 1043250541 | Cathy Evelyn Wayand | Registered Nurse | 6890 E Sunrise Drive Ste 120 #223, Tucson, AZ 85750 | 2006-06-07 |
| 1144206806 | John Daniel Mcarthur | Radiology | 5965 N Sabino Shadow Ln, Tucson, AZ 85750 | 2005-12-15 |
| 1972599181 | Howard Hunter Yost | Psychiatry & Neurology | 5520 N Waterfield Dr, Tucson, AZ 85750 | 2005-09-22 |
| Find all providers in zip 85750 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1982084562 | Cj Surgical Assisting | Physician Assistant | 9420 E. Golf Links Rd., Ste 108 #138, Tucson, AZ 85730-1317 | 2015-06-09 |
| 1073901492 | Claudia Y Coello-rasoumoff | Physician Assistant | 2803 E 5th St, Tucson, AZ 85716-4433 | 2015-01-07 |
| 1902211600 | David Ybarbo Flores | Physician Assistant | 7853 N Kristin Pl, Tucson, AZ 85741-3926 | 2014-06-22 |
| 1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
| 1205257359 | Carolyn Jones | Physician Assistant | 5963 E Franklin Tale Dr, Tucson, AZ 85756-8653 | 2013-12-16 |
| 1376886135 | Diane M Williams | Physician Assistant | 6336 N Oracle Rd # 326245, Tucson, AZ 85704-5480 | 2013-03-30 |
| 1740524123 | April Hanna, Pa-c Pllc | Physician Assistant | 12121 E Barbary Coast Rd, Tucson, AZ 85749-8443 | 2012-11-25 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1164674420 | Nicole M Nelson-bridges | Physician Assistant | 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 | 2008-10-17 |
| Find all providers in TUCSON | ||||
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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.