MICHELLE ANN NICHOLS


Address: 1716 Hartford St., Lafayette, IN 47904-2138
Phone: 7657421567

MICHELLE ANN NICHOLS (NPI# 1942753082) 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) 1942753082
Entity Type Individual
Full Name MICHELLE ANN NICHOLS
Credential AGNP-C
Practice Address 1716 Hartford St.
Lafayette
IN 47904-2138
Practice Telephone 7657421567
Practice Fax Number 7654292700
Mailing Telephone 7657421567
Mailing Fax Number 7654292700
Enumeration Date 2016-07-25
Last Update Date 2016-11-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28096862A IN Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
28096862A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM PROVIDER NUMBER PENDING 01
IN PENDING 05

Other Providers MICHELLE NICHOLS

NPI Name Taxonomy Address Enumeration
1124562558 Michelle Dimond Nichols Dietitian, Registered 2716 Barbara Ln, Oceanside, CA 92056-3339 2016-12-04
1003055963 Michelle Lee Nichols Licensed Practical Nurse 7002 Roush Rd, Hillsboro, OH 45133-9165 2009-02-16
1003071077 Michelle Lynn Nichols Developmental Therapist 9081 Wallonia Rd, Princeton, KY 42445-9012 2008-07-18
1407036486 Michelle Ann Nichols Pharmacist 205 S Caroline St, Herkimer, NY 13350-2248 2007-11-07
1780221218 Michelle Maria Nichols Physical Therapy Assistant 601 S 8th St, Tacoma, WA 98405-4614 2019-12-03
1922351097 Michelle Nichols Rehabilitation Practitioner 5615 S Pecos Rd, Las Vegas, NV 89120-1961 2012-10-25
1215178652 Michelle G Nichols Registered Nurse 1201 Broad Rock Blvd, Richmond, VA 23249-0001 2009-03-16
1285895102 Michelle D. Nichols Genetic Counselor, MS 1959 Ne Pacific St, Seattle, WA 98195-0001 2008-06-23
1407935455 Michelle Hattie Nichols Social Worker 5030 Northwind Dr Ste 108, East Lansing, MI 48823-5034 2006-11-02
1912931668 Michelle J Nichols Psychiatry & Neurology 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2006-07-10

Office Location

Street Address 1716 HARTFORD ST.
City LAFAYETTE
State IN
Zip Code 47904-2138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225469877 Berthold E Stover Social Worker 1716 Hartford St., Lafayette, IN 47904-2138 2013-12-09
1740802073 Jennifer Bradley Nurse Practitioner 1716 Hartford St., Lafayette, IN 47904-2138 2020-05-08
1770137598 Amy Vyain Nurse Practitioner 1716 Hartford St., Lafayette, IN 47904-2138 2019-07-30
1013486588 Rebekah Hurst Nurse Practitioner 1716 Hartford St., Lafayette, IN 47904-2138 2018-11-14
1952881187 Sylvia Bores Saxena Nurse Practitioner 1716 Hartford St., Lafayette, IN 47904-2138 2018-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285182550 Elizabeth Anne Summerhayes Nurse Practitioner 3542 Oconner Dr, Lafayette, CA 94549-4933 2016-09-15
1194106674 Jessica J. Meredith Nurse Practitioner 4118 Trees Dr, Lafayette, IN 47909-3450 2015-06-10
1013291350 Shelly Sebastien Richard Nurse Practitioner 501 W Saint Mary Blvd Ste 200, Lafayette, LA 70506-4665 2011-10-05
1134442692 Christine Devillier Richard Nurse Practitioner 522 Harrell Dr, Lafayette, LA 70503-4935 2010-03-11
1679761761 Grace Ihsiu Todd Nurse Practitioner 964 Mezzanine Dr, Planned Parenthood of Indiana and Kentucky, Lafayette, IN 47905-8631 2007-10-15
1396761060 Deirdre Irene Detraz Nurse Practitioner 2801 Kaliste Saloom Rd, Suite 200 B, Lafayette, LA 70508-7181 2006-07-14
1861451106 Anne Elizabeth Zahnke Nurse Practitioner 1 W 240 S, Lafayette, IN 47909-6303 2006-03-23
1194728568 Gilbert Almanza Nurse Practitioner 1345 Unity Pl, Suite 345, Lafayette, IN 47905-5760 2005-05-31
1891330726 Sarah Roth Nurse Practitioner 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 2019-11-14
1235774431 Rdd Consulting Nurse Practitioner 3400 Moss St Ste B, Lafayette, LA 70507-6114 2019-11-12
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Competitor

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City LAFAYETTE
Zip Code 47904

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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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