Ms Rosemary B Nichols, MSN, PMH/CNS, LMFT is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Dallas, Texas. Ms Rosemary B Nichols is licensed to practice in Texas (license number 414379) and her current practice location is
12247 Ridgefair Pl, Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 241-8697.
NPI number for Ms Rosemary B Nichols is 1336134410 and her current mailing address is 12247 Ridgefair Pl, Dallas, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336134410.
Healthcare Provider's Profile
| Full Name | Ms Rosemary B Nichols |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
|---|
| Location | 12247 Ridgefair Pl, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336134410
- Provider Enumeration Date: 09/15/2005
- Last Update Date: 08/28/2008
Medical Identifiers
Medical identifiers for Ms Rosemary B Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336134410 | NPI | - | NPPES |
| 00000076B | Other | TX | BLUECROSS/BLUESHIELD |
| 752363246 | Other | TX | CIGNAHEALTHCARE |
| 9218638 | Other | TX | PRIVATEHEALTHCARESYSTEMS |
| 226945 | Other | TX | MANAGEDHEALTHNETWORK |
| 752363246 | Other | TX | CIGNABEHAVIORALHEALTH |
| 0050245 | Other | TX | BLUECROSSBLUESHIELDBLUE |
| 062536001 | Medicaid | TX | |
| 116176523 | Other | TX | UNITEDBEHAVIORALHEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 1628 (Texas) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 414379 (Texas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2292 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Rosemary B Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Rosemary B Nichols, MSN, PMH/CNS, LMFT
12247 Ridgefair Pl,
Dallas, TX 75234-7805
Ph: (972) 241-8697 | Ms Rosemary B Nichols, MSN, PMH/CNS, LMFT
12247 Ridgefair Pl,
Dallas, TX 75234-7805
Ph: (972) 241-8697 |
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