| Reginald Scott Nichols, FNP | |
|
571 S Allen Rd, Flat Rock, NC 28731 | |
| (828) 692-6178 | |
| (828) 356-3996 |
| Full Name | Reginald Scott Nichols |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 571 S Allen Rd, Flat Rock, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780085480 | NPI | - | NPPES |
| 5007158 | Other | NC | NURSE PRACTITIONER |
| 1780085480 | Medicaid | NC | |
| 247416 | Other | NC | RN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5007158 (North Carolina) | Primary |
| 363L00000X | Nurse Practitioner | 5007158 (North Carolina) | Secondary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191217001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald Scott Nichols, FNP 116 Junco Ln, Brevard, NC 28712-9824 Ph: (828) 556-9134 | Reginald Scott Nichols, FNP 571 S Allen Rd, Flat Rock, NC 28731 Ph: (828) 692-6178 |
Daniell Miller Gold, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 | |
Kristan Leeann Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-356-3998 | |
Miteshbhai J Raval, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365 | |
Stacie Lynn Raasch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 | |
Richelle Nugent Hooper, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365 | |
Mrs. Cristina Helena Davis, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365 | |
Heather Marie Landreth, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365 |