Deidra R Nichols (NPI# 1225390305, PAC ID# 8729234240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225390305 |
| PAC ID by PECOS | 8729234240 |
| Professional Enrollment ID | I20120815000458 |
| Full Name | Deidra R Nichols |
| Organization Legal Name | BRIO PRACTICE MANAGEMENT IDAHO LLC |
| Address |
1950 1st St Idaho Falls ID 83401-4342 |
| Phone Number | 8013614381 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9739462805 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1950 1st St, Idaho Falls, ID 83401-4342 | 8013614381 | BRIO PRACTICE MANAGEMENT IDAHO LLC |
| Organization Legal Name | BRIO PRACTICE MANAGEMENT IDAHO LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Jane Williams | Clinical Social Worker | Brio Practice Management Idaho LLC | 1950 1st St, Idaho Falls, ID 83401-4342 |
| David Newell Chiddix | Clinical Social Worker | Brio Practice Management Idaho LLC | 1950 1st St, Idaho Falls, ID 83401-4342 |
| Street Address |
1950 1ST ST |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83401-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Jane Williams | Clinical Social Worker | Brio Practice Management Idaho LLC | 1950 1st St, Idaho Falls, ID 83401-4342 |
| David Newell Chiddix | Clinical Social Worker | Brio Practice Management Idaho LLC | 1950 1st St, Idaho Falls, ID 83401-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Suarez | Clinical Social Worker | 1582 N Holmes Ave, Idaho Falls, ID 83401-2032 | |
| Scott David Hyatt | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Lisa Porter | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Melanie D Clark | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Rick G Goldman | Clinical Social Worker | 2647 E 14, Idaho Falls, ID 83401-2301 | |
| Caryl M Frugoli | Clinical Social Worker | 548 Lomax St, Idaho Falls, ID 83401-2634 | |
| Corene R Peterson | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Linda H Snell | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Larry A Calabro | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Ethan W Smith | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Find all physicians in zip 83401 | |||
| City | IDAHO FALLS |
| Zip Code | 83401 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | IDAHO FALLS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Deidra R Nichols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.