MR. GREGORY ALAN NICHOLS (NPI# 1669771861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669771861 |
| Entity Type | Individual |
| Full Name | MR. GREGORY ALAN NICHOLS |
| Credential | RN, MSN, FNP-BC |
| Practice Address |
16547 W 159th St Lockport IL 60441-7900 |
| Mailing Address |
2115 Water Chase Dr New Lenox IL 60451-4813 |
| Practice Telephone | 8158349075 |
| Mailing Telephone | 8153253978 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2012-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.008721 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1770860124 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932308665 | Gregory L Nichols | Dentist | 174 N Villa St, Porterville, CA 93257-3218 | 2007-07-12 |
| 1730298316 | Gregory Nichols | Physical Therapist | 1125 E South Blvd, Montgomery, AL 36116-2313 | 2006-08-29 |
| 1386699510 | Gregory M Nichols | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-05-24 |
| 1477501997 | Gregory S Nichols | Obstetrics & Gynecology | 2608 Hospital Rd, Goldsboro, NC 27534-9423 | 2006-05-05 |
| Street Address |
16547 W 159TH ST |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528074895 | Healthy Connection Chiropractic & Rehabilitations | Chiropractor | 16547 W 159th St, Lockport, IL 60441-7900 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468040 | Jane K James | Nurse Practitioner | 4675 Sunset Dr, Lockport, NY 14094-1231 | 2019-10-11 |
| 1861979098 | Brittany Nicole Sisson | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2018-07-20 |
| 1639699192 | Chelsea L Mckenna | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2017-06-26 |
| 1114381191 | Chijioke Jimonu | Nurse Practitioner | 16626 W 159th St, Suite 700, Lockport, IL 60441-8018 | 2016-04-06 |
| 1669866125 | Kaitlyn A Wojewoda | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2015-03-23 |
| 1407264229 | Erika Brooke Waver | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2014-07-24 |
| 1376834085 | Elisabeth Allen | Nurse Practitioner | 5879 Snyder Dr, Lockport, NY 14094-9497 | 2011-04-28 |
| 1124328307 | Acacia Family Health Np Pllc | Nurse Practitioner | 702 Davison Rd, Lockport, NY 14094-5371 | 2010-10-22 |
| 1871823690 | Julia C Koklys | Nurse Practitioner | 16750 W 159th St, Lockport, IL 60441-7968 | 2009-12-29 |
| 1528117884 | Claire A Andrews | Nurse Practitioner | 5875 S Transit Rd, Lockport, NY 14094-6340 | 2007-01-09 |
| Find all providers in LOCKPORT | ||||
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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.