Provider Type Icon

DALE ELLEN NICHOLS M.D. NPI 1770589350


NPI Information

NPI: 1770589350
Provider Name: DALE ELLEN NICHOLS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1112 E WEISGARBER RD
STE 201
KNOXVILLE, TN
ZIP 37909
Phone: (865) 558-9862
Get Directions

Dale Ellen Nichols, M.D. is a diagnostic radiology radiology in Knoxville, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Dale Ellen Nichols, M.D. NPI is 1770589350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1112 E WEISGARBER RD
STE 201
KNOXVILLE, TN
ZIP 37909-647
Phone: (865) 558-9862
Fax: (865) 584-3478

The NPI 1770589350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 9/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology17155TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13051573MEDICAIDTENNESSEE
2D32834MEDICARE UPINTENNESSEE
33051574MEDICARE PINTENNESSEE
43051574MEDICAIDTENNESSEE
53051573MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.