DEREK NICHOLS (NPI# 1760841621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760841621 |
| Entity Type | Individual |
| Full Name | DEREK NICHOLS |
| Practice Address |
117 Poncha Ave Alamosa CO 81101-2166 |
| Mailing Address |
117 Poncha Ave Alamosa CO 81101 |
| Practice Telephone | 5037799322 |
| Mailing Telephone | 5037799322 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000018480 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
117 PONCHA AVE |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538602289 | Miranda Nicole Mcwilliams | Specialist/Technologist | 507 Brown Ave, Alamosa, CO 81101-2308 | 2016-11-29 |
| 1902348691 | Stephen Lloyd Mundee | Specialist/Technologist | 727 Cielo Azul Apt B7, Alamosa, CO 81101-8816 | 2016-11-10 |
| 1851711048 | Lisa Erickson | Specialist/Technologist | 230 Calle Buena, Alamosa, CO 81101-1800 | 2014-04-26 |
| 1750562245 | Rachel Dawn Butler | Specialist/Technologist | 208 Edgemont Blvd, Alamosa, CO 81101-2373 | 2007-11-26 |
| 1467962308 | Emily Kay Wallace | Specialist/Technologist | 208 Edgemont Blvd, Alamosa, CO 81101-2320 | 2017-10-05 |
| 1194267963 | Shanae Karen Mundee | Specialist/Technologist | 208 Edgemont Blvd, Suite 4000, Alamosa, CO 81101-2320 | 2016-11-10 |
| 1174980908 | Alexandra Dean | Specialist/Technologist | 208 Edgemont Blvd, Alamosa, CO 81101-2320 | 2016-01-25 |
| 1679948897 | Matlyn Zimmerman | Specialist/Technologist | 208 Edgemont Blvd, Alamosa, CO 81101-2320 | 2015-12-14 |
| 1023401148 | Shannon Michelle Flynn | Specialist/Technologist | 208 Edgemont Blvd, Alamosa, CO 81101-2320 | 2015-03-13 |
| 1144620873 | Megan Ulery | Specialist/Technologist | 208 Edgemont Blvd, Alamosa, CO 81101-2320 | 2014-08-29 |
| Find all providers in ALAMOSA | ||||
Please comment or provide details below to improve the information on DEREK 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.