CAROL M NIKOLAI CNP NPI 1568694800

NPI Information

  • NPI: 1568694800
  • Provider Name: CAROL M NIKOLAI, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3120 GOVERNORS PLACE BLVD
    DAYTON, OH
    ZIP 45409
  • Phone: (937) 293-1622

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NPI Details

Carol M Nikolai, CNP is a family nurse practitioner in Dayton, OH. Carol M Nikolai, CNP NPI is 1568694800. 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:

3120 GOVERNORS PLACE BLVD
DAYTON, OH
ZIP 45409-328
Phone: (937) 293-1622
Fax: (937) 245-6308

The NPI 1568694800 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2009 and was last updated on 1/7/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerCOA.05039-NPOHIONo
2363LF0000XNurse PractitionerFamilyAPRN.CNP.05039OHIOYes

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
10159747MEDICAIDOHIO

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: 11/21/2025

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