DR. STEPHANIE MARIE NICHOLS (NPI# 1619041076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619041076 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE MARIE NICHOLS |
| Credential | D.M.D. |
| Practice Address |
4259 Robert C. Byrd Dr Beckley WV 25801 |
| Practice Telephone | 3013513670 |
| Mailing Telephone | 3013513670 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4250 | WV | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401410681 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772944 | Stephanie Brianna Noelle Nichols | Speech-Language Pathologist | 26 Milford Ln Apt E, Suffern, NY 10901-7944 | 2020-05-19 |
| 1174023451 | Stephanie Nichols | Acupuncturist | 1450 W Guadalupe Rd Ste 115, Gilbert, AZ 85233-3055 | 2018-02-13 |
| 1720626724 | Stephanie Renee Nichols | Case Manager/Care Coordinator | 1757 W C St, Torrington, WY 82240-3215 | 2019-12-20 |
| 1821561366 | Stephanie Elizabeth Nichols | Student in an Organized Health Care Education/Training Program | 195 W 7200 S, Midvale, UT 84047-3703 | 2019-01-08 |
| 1134612633 | Stephanie Nichols | Pharmacist | 22 Bramhall St, Portland, ME 04102-3175 | 2018-06-08 |
| 1952768418 | Stephanie Maclean Nichols | Nurse Practitioner | 619 19th St S, Department of Emergency Medicine, Birmingham, AL 35233-1900 | 2016-01-27 |
| 1053704072 | Stephanie Blackett Nichols | Social Worker | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2015-03-16 |
| 1861820821 | Stephanie Nichols | Speech-Language Pathologist | 300 Sw 7th St, Renton, WA 98057-2307 | 2013-10-29 |
| 1891070546 | Stephanie Nichols | Psychologist | 96 5th Ave, 1k, New York, NY 10011-7605 | 2011-10-13 |
| 1750695649 | Stephanie Marie Nichols | Nurse Practitioner | 770 Jasonway Ave, Suite 1a, Columbus, OH 43214-4333 | 2010-08-03 |
| Street Address |
4259 ROBERT C. BYRD DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154845 | Sound Sleep Treatments of The Virginias LLC | Dentist | 33 Eagles Rd, Beckley, WV 25801-3643 | 2019-10-03 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1467804369 | Daniel Moye II | Dentist | 102 Galleria Plz, Beckley, WV 25801-3162 | 2016-07-05 |
| 1053792705 | Austin Tyler Wright | Dentist | 411 Carriage Dr, Beckley, WV 25801-2805 | 2015-06-17 |
| 1417181579 | Lillian Mary Feder | Dentist | 114 Beckley Plz, Beckley, WV 25801-2221 | 2009-05-05 |
| 1417196387 | Jeffrey Russell Harvey | Dentist | 241 N Kanawha St, Beckley, WV 25801-4716 | 2009-02-17 |
| 1639388846 | Kevin Heath Bailey | Dentist | 411 Carriage Drive, Beckley, WV 25801 | 2007-05-22 |
| 1225199615 | Trevor Karl Gray | Dentist | 1840 Harper, Beckley, WV 25801-3366 | 2006-12-12 |
| 1790855823 | Mohammad Ali Farid | Dentist | 2401 South Kanawha St, Beckley, WV 25801 | 2006-11-08 |
| 1316039134 | Kurt Herbert Reiber | Dentist | 100 Earwood St, Beckley, WV 25801 | 2006-09-29 |
| Find all providers in BECKLEY | ||||
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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.