MS. ROSEMARY B NICHOLS MSN PMH/CNS LMFT NPI 1336134410

NPI Information

NPI: 1336134410
Provider Name: MS. ROSEMARY B NICHOLS, MSN, PMH/CNS, LMFT
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
12247 RIDGEFAIR PL
DALLAS, TX
ZIP 75234
Phone: (972) 241-8697
Get Directions

MS. Rosemary B Nichols, MSN, PMH/CNS, LMFT is a psychiatric/mental health clinical nurse specialist in Dallas, TX. MS. Rosemary B Nichols, MSN, PMH/CNS, LMFT NPI is 1336134410. 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:

12247 RIDGEFAIR PL
DALLAS, TX
ZIP 75234-805
Phone: (972) 241-8697
Fax: (972) 241-8697

The enumeration date for this NPI number is 9/15/2005 and was last updated on 8/28/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		1628	TEXAS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2292	TEXAS	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	414379	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0050245	OTHER	TEXAS	BLUECROSSBLUESHIELDBLUE
2	226945	OTHER	TEXAS	MANAGEDHEALTHNETWORK
3	116176523	OTHER	TEXAS	UNITEDBEHAVIORALHEALTH
4	9218638	OTHER	TEXAS	PRIVATEHEALTHCARESYSTEMS
5	00000076B	OTHER	TEXAS	BLUECROSS/BLUESHIELD
6	752363246	OTHER	TEXAS	CIGNAHEALTHCARE
7	062536001	MEDICAID	TEXAS
8	752363246	OTHER	TEXAS	CIGNABEHAVIORALHEALTH

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

NPI Synchronization or Removal

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