DR. SHANNON KERRY FLOOD NICHOLS


Address: 1105 Dividion St., 201, Tacoma, WA 98405
Phone: 2534039200

DR. SHANNON KERRY FLOOD NICHOLS (NPI# 1912971573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912971573
Entity Type Individual
Full Name DR. SHANNON KERRY FLOOD NICHOLS
Credential DO
Practice Address 1105 Dividion St.
201
Tacoma
WA 98405
Mailing Address 315 Martin Luther King Jr Way
Tacoma
WA 98405-4234
Practice Telephone 2534039200
Practice Fax Number 2534039201
Mailing Telephone 2534039200
Enumeration Date 2006-02-13
Last Update Date 2016-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 414 NE Allopathic & Osteopathic Physicians
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
OP 60410163 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 1105 DIVIDION ST.
201
City TACOMA
State WA
Zip Code 98405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770563397 Peter G Napolitano Obstetrics & Gynecology Bldg 9040 Fitzsimmons Drive, Mchj-og Attn: Ltc Napolitano, Dept Obgyn Madigan Amc, Tacoma, WA 98431-0001 2006-01-19
1184808651 Eryn J Hart Dutta Obstetrics & Gynecology 1608 S J St Fl 1, Tacoma, WA 98405 2007-12-20
1376742346 Jason Andrew Pates Obstetrics & Gynecology 9040 Jackson Ave, Tacoma, WA 98431-0001 2007-07-11
1770700528 Kerry Maureen Mcmahon Obstetrics & Gynecology 1708 Yakima Ave, Ste 202, Tacoma, WA 98405-5307 2007-04-20
1013947142 Angela Lorraine Gray Obstetrics & Gynecology 1608 S J St Fl 1, Tacoma, WA 98405-4930 2006-07-04
1629016936 Franciscan Medical Group Obstetrics & Gynecology 1708 Yakima Ave, Ste 202, Tacoma, WA 98405-5307 2006-06-02
1831140615 Edward Eliot Dashow Obstetrics & Gynecology 314 Martin Luther King Jr Way, 402, Tacoma, WA 98405-4250 2006-05-15
1407836018 Shad Deering Obstetrics & Gynecology 9040 Fitzsimmons Dr, Department of Ob/gyn, Tacoma, WA 98431-1000 2006-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538218441 Bettina W Paek Obstetrics & Gynecology 1959 Ne Pacific St # 356460, Seattle, WA 98195-6460 2007-01-09
1073889234 Jennifer Leigh Katz Eriksen Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-6110 2012-03-31
1457677627 Timothy Mitchell Obstetrics & Gynecology 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 2010-04-13
1740418029 Catherine Albright Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-2401 2009-06-25
1649432931 Samantha Weed Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-0001 2008-06-27
1578735882 Tri Cities Maternal Fetal Medicine Pllc Obstetrics & Gynecology 969 Stevens Dr, Suite 3a, Richland, WA 99352-3525 2008-03-26
1659549236 Eve M Bernstein Obstetrics & Gynecology 900 Pacific Ave, Suite 501, Everett, WA 98201-4168 2008-02-15
1740464379 Sarah Anne Waller Obstetrics & Gynecology 1229 Madison St, Suite 710, Seattle, WA 98104-3586 2007-12-18
1811197767 Suchitra Chandrasekaran Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-1250 2007-07-19
1548464183 Jeroen Peter Vanderhoeven Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-06-14
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City TACOMA
Zip Code 98405

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Dataset Information

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.

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