KAREN RUTH NICHOLS (NPI# 1841363819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841363819 |
| Entity Type | Individual |
| Full Name | KAREN RUTH NICHOLS |
| Credential | PA-C |
| Practice Address |
2632 N 20th St Phoenix AZ 85006-1339 |
| Mailing Address |
Po Box 61773 Phoenix AZ 85082-1773 |
| Practice Telephone | 6022662200 |
| Practice Fax Number | 6022406177 |
| Mailing Telephone | 6026826701 |
| Mailing Fax Number | 6022406177 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1009350 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | SUN HEALTH GROUP # | WCSKQ | 01 |
| AZ | 740151 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578067120 | Karen B Nichols | Licensed Vocational Nurse | 8500 Harwood Rd Apt 72, North Richland Hills, TX 76180-0434 | 2018-03-20 |
| 1285143321 | Karen Nichols | In Home Supportive Care | 865 Broadway Ave Apt 53b, Holbrook, NY 11741-4933 | 2017-09-20 |
| 1851909352 | Karen Eugena Nichols | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-21 |
| 1003231325 | Karen Nichols | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2014-02-24 |
| 1144349960 | Karen Nichols | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2007-03-29 |
| 1154458941 | Karen Lynn Nichols | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2007-02-27 |
| 1205970951 | Karen Nichols | Registered Nurse | 390 N. Market Street Extended, Seaford, DE 19973 | 2007-02-16 |
| 1912089632 | Karen D. Nichols | Psychologist | 2320 130th Ave Ne, Suite 110, Bellevue, WA 98005-1752 | 2006-10-20 |
| 1447343645 | Karen Trippe Nichols | Nurse Practitioner | 4590 S Lindbergh Blvd, Saint Louis, MO 63127-1810 | 2006-10-02 |
| 1215955323 | Karen J Nichols | Internal Medicine | 51 N 39th St, Mab, Suite 212, Philadelphia, PA 19104-2640 | 2006-07-17 |
| Street Address |
2632 N 20TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938147 | Rajagopalan Ravi | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2005-08-02 |
| 1083043210 | Joei Johns | Physician Assistant | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2013-11-07 |
| 1659685782 | Vhs Arizona Heart Institute Inc | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2010-07-30 |
| 1093966194 | Hussein Dawod Jabr | Specialist/Technologist, Other | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-10-07 |
| 1457508723 | Ahi Cardiovascular Surgeons Ltd | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-08-19 |
| 1144482886 | Ahi Cardiovascular Surgeons Ltd | Radiology | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-06-25 |
| 1952423311 | Michael Ipo Chow | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-04-05 |
| 1316067549 | Carole Jane Klein | Counselor | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-03-30 |
| 1972648087 | Arizona Heart Institute Ltd | Specialist | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-02-20 |
| 1194879296 | Arizona Heart Institute Ltd | Clinic/Center | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.