MRS. DEANNA ARLENE NICHOLS (NPI# 1750464517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750464517 |
| Entity Type | Individual |
| Full Name | MRS. DEANNA ARLENE NICHOLS |
| Credential | ARNP |
| Practice Address |
200 N Crawford St Ste 3 Tompkinsville KY 42167-1617 |
| Mailing Address |
Po Box 669 200 N Crawford Street Suite 3 Tompkinsville KY 42167-0669 |
| Practice Telephone | 2704075052 |
| Practice Fax Number | 2704075053 |
| Mailing Telephone | 2704075052 |
| Mailing Fax Number | 2704075053 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3004997 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RN LISCENSE | 1103764 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588946172 | Deanna Nichols | Registered Nurse | 303 South Broadway, Suite 321, Tarrytown, NY 10591-5455 | 2011-09-09 |
| 1841345220 | Deanna L Nichols | Occupational Therapist | 1616 Richmond Dr Ne, Montezuma Es, Albuquerque, NM 87106-1832 | 2007-01-24 |
| 1750649265 | Deanna R Nichols | Counselor | 11075 S State St Ste 14, Sandy, UT 84070-5194 | 2012-05-03 |
| Street Address |
200 N CRAWFORD ST STE 3 |
| City | TOMPKINSVILLE |
| State | KY |
| Zip Code | 42167-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477943751 | Jamie Robinson | Counselor | 200 N Crawford St Ste 3, Tompkinsville, KY 42167 | 2015-01-26 |
| 1255609046 | Living Well Healthcare, LLC | Clinic/Center | 200 N Crawford St Ste 3, Tompkinsville, KY 42167-1617 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013252717 | Middle Tennessee Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 529 Cap Harlan Road, Tompkinsville, KY 42167 | 2012-12-06 |
| 1598015067 | Daniel S Hall | Case Manager/Care Coordinator | 800 North Main Street, Tompkinsville, KY 42167 | 2012-09-12 |
| 1013191808 | Monroe County Health Department | Public Health or Welfare | 420 Elementary School Rd., Tompkinsville, KY 42167 | 2007-12-28 |
| 1386828127 | Dr. Rebecca Greer | Dentist | 42 Executive Drive, Tompkinsville, KY 42167 | 2007-12-27 |
| 1639389166 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-05-23 |
| 1043433758 | John Douglas Page | Dentist | 204 W Paige Street, Tompkinsville, KY 42167 | 2007-04-11 |
| 1710011200 | Larry Owen Miller | Dietitian, Registered | 452 E. 4th St, Tompkinsville, KY 42167 | 2007-03-15 |
| 1316023351 | Monroe Medical Foundation, Inc. | Home Health | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-31 |
| 1003992462 | Kenneth Ray Crabtree | Family Medicine | 529 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-28 |
| 1720013873 | William Michael Carter | Family Medicine | 606 N Main Street, Tompkinsville, KY 42167 | 2006-07-11 |
| Find all providers in zip 42167 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760638456 | Jennifer Nicole Proffitt | Nurse Practitioner | 1515 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2008-08-13 |
| 1023191889 | Teresa L Sheffield | Nurse Practitioner | 800 N Main St Ste B, Tompkinsville, KY 42167-1037 | 2006-10-23 |
| 1386616464 | Amy Comer | Nurse Practitioner | 452 E 4th Street, Tompkinsville, KY 42167 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | TOMPKINSVILLE |
| Zip Code | 42167 |
Please comment or provide details below to improve the information on MRS. DEANNA ARLENE 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.