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DR. EPIPHANY LOTOTELE NICK MD
NPI 1083319982
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 03, 2023PECOS Enrolled
125 16TH AVE E # CHS545, SEATTLE, WA 98112(206) 326-3769 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Epiphany Lototele Nick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EPIPHANY LOTOTELE NICK MD (NPI 1083319982) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083319982
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. EPIPHANY LOTOTELE NICKCredential: MD
Location Address125 16TH AVE E # CHS545Seattle, WA 98112-5211
Mailing Address125 16th Ave E # Chs545Seattle, WA 98112-5211 · (206) 326-3769
Phone(206) 326-3769
Sole ProprietorYes
Enumeration DateApril 3, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1083319982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
125 16TH AVE E # CHS545, Seattle, WA 98112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Epiphany Lototele Nick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ANNE CONLEY MPH
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (206) 326-3585
TAHA RAHMATULLAH MD
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (206) 326-3530
ZORIE ALIETA JONES MD
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (202) 346-3000
MONA SABETRASEKH DO
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (206) 326-3769
DR. JAYA IMAN HARRELL DO
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (206) 326-3585
ERICA CHIOMA NKWOCHA
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (206) 326-3585
AUSTIN NGUYEN DO
Family Medicine
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (253) 697-4000
FATEMEH MEMAR DO
Student in an Organized Health Care Education/Training Program
125 16TH AVE E # CHS545
SEATTLE, WA 98112
King County (206) 326-3585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Epiphany Nick's NPI number?

The NPI number for Epiphany Nick is 1083319982. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Epiphany Nick located?

Epiphany Nick practices at 125 16th Ave E # Chs545, Seattle, WA 98112. The listed phone number is (206) 326-3769.

What is Epiphany Nick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Epiphany Nick enrolled in Medicare?

Yes. Epiphany Nick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Epiphany Nick was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.