MRS. JUDITH A NICHOLLS (NPI# 1790017408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790017408 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH A NICHOLLS |
| Credential | MBA |
| Practice Address |
507 Robert M Grissom Pkwy Myrtle Beach SC 29577-6576 |
| Mailing Address |
Po Box 1305 Myrtle Beach SC 29578-1305 |
| Practice Telephone | 8434484222 |
| Mailing Telephone | 8434484222 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225517568 | Judith Heather Nicholls | Nurse Practitioner | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2018-08-08 |
| Street Address |
507 ROBERT M GRISSOM PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-6576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200958 | Sarah Lucas | Nutritionist | 218 Rice St, Greenville, SC 29605-2053 | 2020-03-19 |
| 1902301682 | Taumeia Washington Alford | Nutritionist | 318 Lakewood Cir, Greer, SC 29651-5959 | 2018-03-26 |
| 1740539741 | Felicia M. Godolphin | Nutritionist | 3179 Sonja Way, Mount Pleasant, SC 29466-7071 | 2012-09-05 |
| 1780810960 | Betsi L. Santone | Nutritionist | 694 Jamestown Dr., Garden City, SC 29576 | 2009-06-02 |
| 1831212638 | Ande M Jackson | Nutritionist | 219 Lake Circle Dr, Greenville, SC 29609-6623 | 2007-04-08 |
| 1851332951 | Palmetto Primary Care Physicians | Nutritionist | 213 West 4th North Street, Summerville, SC 29483 | 2006-06-09 |
| 1659311165 | Palmetto Primary Care Physicians | Nutritionist | 1401 Main St., Bonneau, SC 29431 | 2006-06-07 |
| 1932149440 | Palmetto Primary Care Physicians | Nutritionist | 87 Springview Lane, Ste B, Summerville, SC 29485 | 2006-06-07 |
| 1467441626 | James Michael Prevost | Nutritionist | Limestone College, 1115 College Drive, Gaffney, SC 29340 | 2005-10-19 |
| 1891312765 | Fabrienne Payne | Nutritionist | 1501 Sumter St, Columbia, SC 29201-2829 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on MRS. JUDITH A NICHOLLS.
| 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.