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MRS. LEILA KEEL NICHOLS CNM NPI 1104159904


NPI Information

NPI: 1104159904
Provider Name: MRS. LEILA KEEL NICHOLS, CNM
Classification: Advanced Practice Midwife - 367A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2863 HIGHWAY 45 BYP
JACKSON, TN
ZIP 38305
Phone: (731) 660-8300
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MRS. Leila Keel Nichols, CNM is an advanced practice midwife in Jackson, TN with 16 years of experience. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. MRS. Leila Keel Nichols, CNM NPI is 1104159904. 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:

2863 HIGHWAY 45 BYP
JACKSON, TN
ZIP 38305-618
Phone: (731) 660-8300
Fax: (731) 660-8301

The NPI 1104159904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 5/16/2022.


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
1207V00000XObstetrics & Gynecology13090TENNESSEENo
2367A00000XAdvanced Practice MidwifeAPN14288TENNESSEENo
3367A00000XAdvanced Practice MidwifeAPRN90339MIDWIFEWEST VIRGINIANo
4367A00000XAdvanced Practice Midwife14288TENNESSEEYes

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
13380640OTHERTENNESSEEMEDICARE GROUP
21525515MEDICAIDTENNESSEE
33380640OTHERTENNESSEEMEDICAID GROUP

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.