SHAWN EDWARD NICHOLS (NPI# 1750329637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329637 |
| Entity Type | Individual |
| Full Name | SHAWN EDWARD NICHOLS |
| Credential | RMT |
| Practice Address |
433 Broad St Columbia MS 39429-3038 |
| Mailing Address |
404 S 22nd Ave Hattiesburg MS 39401-7315 |
| Practice Telephone | 6014440030 |
| Practice Fax Number | 6014440033 |
| Mailing Telephone | 6016066064 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT645 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710135801 | Shawn Michael Nichols | Student in an Organized Health Care Education/Training Program | 2215r Market St, #497, San Francisco, CA 94114-1612 | 2008-09-03 |
| 1841229226 | Shawn Leah Nichols | Dentist | 1904 W Parkside Ln, Suite 201, Phoenix, AZ 85027-1228 | 2006-06-30 |
| Street Address |
433 BROAD ST |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356719553 | Daryn Michael Mcarthur | Physical Therapy Assistant | 433 Broad St, Columbia, MS 39429-3038 | 2015-09-04 |
| 1912285941 | Jeremy S Lynn | Physical Therapist | 433 Broad St, Columbia, MS 39429-3038 | 2011-07-25 |
| 1417187220 | Rogers Hearing Healthcare, Inc | Hearing Aid Equipment | 433 Broad St, Suite A, Columbia, MS 39429-3038 | 2009-07-15 |
| 1376750836 | Shanalyn Marae Harris | Dentist | 433 Broad St, Columbia, MS 39429-3038 | 2007-05-16 |
| 1356412803 | First Place Physical Therapy LLC | Clinic/Center | 433 Broad St, Columbia, MS 39429-3038 | 2006-11-13 |
| 1891735064 | Kristy S Pace | Physical Therapist | 433 Broad St, Columbia, MS 39429-3038 | 2006-06-07 |
| 1063451342 | Vickie Leona Walters | Physical Therapy Assistant | 433 Broad St, Columbia, MS 39429-3038 | 2006-06-05 |
| 1235177064 | Carroll Edward Brown | Physical Therapist | 433 Broad St, Columbia, MS 39429-3038 | 2006-06-03 |
| 1629016506 | Jacqueline Nicole Turnage | Physical Therapy Assistant | 433 Broad St, Columbia, MS 39429-3038 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806932 | Kristen Ann Schiller | Massage Therapist | 43 Polkville Rd, Columbia, NJ 07832-2773 | 2020-09-23 |
| 1689287401 | Courtney Louallen | Massage Therapist | 9367 Two Notch Rd Ste A, Columbia, SC 29223-6450 | 2020-08-31 |
| 1699311092 | Sandra Ann Keeney | Massage Therapist | 3211 S Providence Rd Ste 105, Columbia, MO 65203-3645 | 2019-11-20 |
| 1821645714 | Falisha Mccoy | Massage Therapist | 1612 Marion St Ste 324, Columbia, SC 29201-2939 | 2019-08-24 |
| 1205498698 | Shevonda N Evans | Massage Therapist | 2 Office Park Ct Ste 102b, Columbia, SC 29223-5948 | 2019-07-05 |
| 1407410863 | Leonard Jarod Scott | Massage Therapist | 6941 N Trenholm Rd Ste 204, Columbia, SC 29206-1715 | 2019-04-30 |
| 1891250304 | Barbara Duggan | Massage Therapist | 2401 Bernadette Dr Ste 201, Columbia, MO 65203-4672 | 2019-02-08 |
| 1942785142 | April Michelle Morris | Massage Therapist | 6951 N Trenholm Rd Ste I, Columbia, SC 29206-1707 | 2018-10-03 |
| 1396250445 | Amanda Brannon | Massage Therapist | 3139 Luke Moser Rd, Columbia, TN 38401-8234 | 2017-12-12 |
| 1154835924 | Felicia Patrice Gaines | Massage Therapist | 6941 N Trenholm Rd Ste R2, Columbia, SC 29206-1728 | 2017-11-30 |
| Find all providers in COLUMBIA | ||||
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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.