KELLY NICHOLS (NPI# 1659881530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659881530 |
| Entity Type | Individual |
| Full Name | KELLY NICHOLS |
| Credential | APRN |
| Practice Address |
140 E Delaware Ave Newark DE 19711-4605 |
| Mailing Address |
625 N Shipley St Wilmington DE 19801-2228 |
| Practice Telephone | 3027317801 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
LH-0000226 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 N Shipley St, Wilmington, DE 198012228 | 3026557296 | |
| 805 S Governors Ave, Dover, DE 199044158 | 3026785200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640764 | Kelly Hannon Nichols | Social Worker | 215 Dawley Rd, Fayetteville, NY 13066-2546 | 2015-10-01 |
| 1578803714 | Kelly M Nichols | Licensed Practical Nurse | 829 Scotch Mountain Rd, Delhi, NY 13753-2321 | 2013-02-26 |
| 1851396691 | Kelly B Nichols | Obstetrics & Gynecology | 8380 N. Tullis Avenue, Suite 300, Ste 310, Kansas City, MO 64158-5114 | 2005-06-17 |
| 1245889005 | Kelly Ann Nichols | Registered Nurse | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-09-04 |
| 1447709159 | Kelly Nichols | Nurse Practitioner | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2016-09-23 |
| 1104371418 | Kelly Amanda Merritt Nichols | Nurse Anesthetist, Certified Registered | 5200 Harry Hines Blvd, Dallas, TX 75235 | 2016-08-17 |
| 1235587452 | Kelly Nichols | Behavioral Analyst | 528 E Spokane Falls Blvd, Suite 14, Spokane, WA 99202-5081 | 2016-05-27 |
| 1629462627 | Kelly Nichols | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2015-03-27 |
| 1306108824 | Kelly A. Nichols | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2012-06-11 |
| 1295093748 | Kelly Ann Nichols | Audiologist | 1001 James St, Syracuse, NY 13203-2789 | 2012-05-02 |
| Street Address |
140 E DELAWARE AVE |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1649776709 | Samantha Nicole Anderson | Nurse Practitioner | 240 Mulberry St, Newark, NJ 07102-3528 | 2018-04-05 |
| 1588188528 | Lauren Rainey | Nurse Practitioner | 4745 Ogletown Stanton Rd Ste 111, Newark, DE 19713-2070 | 2017-08-01 |
| 1477735363 | Gail N Dunn | Nurse Practitioner | University of Delaware, Student Health Services, Newark, DE 19717 | 2007-12-03 |
| 1871611806 | Elaine Marie Ramey | Nurse Practitioner | 155 Mcmillen Dr, Newark, OH 43055-1810 | 2007-03-27 |
| 1699265405 | Carolyn Rose St Hilaire | Nurse Practitioner | 240 Mulberry St, Newark, NJ 07102-3528 | 2018-05-16 |
| 1588182430 | Amanda W. Mcclelland | Nurse Practitioner | 100 Mcmillen Dr, Newark, OH 43055-1809 | 2017-08-30 |
| 1730622044 | Aileen Mcelhaney | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2016-11-18 |
| 1336467539 | Belinda Luce Smith | Nurse Practitioner | 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 | 2010-05-12 |
| 1285803403 | Barbara Podinker | Nurse Practitioner | 151 Washington St, Newark, NJ 07102-3026 | 2008-02-21 |
| Find all providers in NEWARK | ||||
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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.