MS. DELIA RUTH NICKOLAUS CPNP NPI 1912943200

NPI Information

NPI: 1912943200
Provider Name: MS. DELIA RUTH NICKOLAUS, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4800 SAND POINT WAY NE
DEPARTMENT OF NEUROLOGY, MS B-5552
SEATTLE, WA
ZIP 98105
Phone: (206) 987-4454
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MS. Delia Ruth Nickolaus, CPNP is a pediatrics nurse practitioner in Seattle, WA. MS. Delia Ruth Nickolaus, CPNP NPI is 1912943200. 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:

4800 SAND POINT WAY NE
DEPARTMENT OF NEUROLOGY, MS B-5552
SEATTLE, WA
ZIP 98105-901
Phone: (206) 987-4454

The NPI 1912943200 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 6/22/2006 and was last updated on 7/8/2007.

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	363LP0200X	Nurse Practitioner	Pediatrics	AP30007689	WASHINGTON	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
1	137614	MEDICAID	ARIZONA
2	111196	MEDICARE ID-TYPE UNSPECIFIED
3	Q71775	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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