GARY W NICHOLS (NPI# 1528314713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528314713 |
| Entity Type | Individual |
| Full Name | GARY W NICHOLS |
| Credential | M.DIV |
| Practice Address |
5150 E Stop 11 Rd Ste 10 Indianapolis IN 46237-8629 |
| Practice Telephone | 3178810409 |
| Practice Fax Number | 3178816450 |
| Mailing Telephone | 3178810409 |
| Mailing Fax Number | 3178816450 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140357 | Gary Dale Nichols | Physician Assistant | 16th Street, Ctmc, Bldg 885, Fort Leonard Wood, MO 65473 | 2005-10-31 |
| 1316936156 | Gary Glenn Nichols | Physician Assistant | 1404 Willow Ln, North Wilkesboro, NC 28659-3584 | 2005-10-14 |
| 1033201587 | Gary Nichols | Internal Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405 | 2006-09-29 |
| 1477580132 | Gary Lee Nichols | Social Worker | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2006-06-27 |
| 1386612141 | Gary E. Nichols | Pediatrics | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2006-03-09 |
| 1891781803 | Gary A Nichols | Family Medicine | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2005-09-26 |
| Street Address |
5150 E STOP 11 RD STE 10 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174067748 | Derek Daniel | Counselor | 5603 Cherry Field Dr, Indianapolis, IN 46237-3825 | 2016-12-15 |
| 1942752761 | Indianapolis Counselor Incorporated | Counselor | 819 East 64th Street, #216, Indianapolis, IN 46220-6610 | 2016-10-27 |
| 1104274232 | Tyrone Bostic | Counselor | 5421 Fallwood Dr, 110, Indianapolis, IN 46220-5659 | 2016-05-31 |
| 1336312263 | Tracy M Ross | Counselor | 4218 Guion Lakes Ter, Indianapolis, IN 46254-1594 | 2008-04-11 |
| 1124392204 | Weston Counseling, LLC | Counselor | 3237 W 16th St, Indianapolis, IN 46222-2704 | 2012-03-07 |
| 1619187721 | Suzanne Murphy Coyle | Counselor | 1050 W 42nd St, Indianapolis, IN 46208-3301 | 2007-05-23 |
| 1194934927 | Karen Jean Estle | Counselor | 1001 W 10th St, # 5132, Indianapolis, IN 46202-2859 | 2007-05-21 |
| 1992920946 | Mary Elizabeth Whaley | Counselor | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-04-16 |
| 1275674046 | Christina Joan Thomas | Counselor | 819 E 64th St, Suite A, Indianapolis, IN 46220-1671 | 2007-02-12 |
| 1902952146 | Sondra Katena Gentry | Counselor | 1050 W 42nd St, Indianapolis, IN 46208-3301 | 2007-01-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on GARY W NICHOLS.
| 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.