DR. KATELYN ELLEN NICHOLS PHARMD
NPI 1093062424
Pharmacist - Ambulatory Care in Green Bay, WI

Active since August 03, 2012
2851 UNIVERSITY AVE, GREEN BAY, WI 54311(920) 431-2500 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Katelyn Ellen Nichols Pharmd NPPES

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

DR. KATELYN ELLEN NICHOLS PHARMD (NPI 1093062424) is an individual ambulatory care provider in Green Bay, Wisconsin, licensed in Illinois (051295914) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1093062424
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameDR. KATELYN ELLEN NICHOLSCredential: PHARMD
Location Address2851 UNIVERSITY AVEGreen Bay, WI 54311-5855
Mailing Address2851 University AveGreen Bay, WI 54311-5855 · (920) 431-2500
Sole ProprietorNo
Enumeration DateAugust 3, 2012
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1093062424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
Licenses Licensed in IL · 051295914 Licensed in WI · 2298940
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

2851 UNIVERSITY AVE, Green Bay, WI 54311

Other Providers at the Same Location NPPES 20

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

Clinic/Center (VA)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Social Worker
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Psychologist (Clinical)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Social Worker
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Social Worker (Clinical)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Nurse Practitioner (Family)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Psychologist (Counseling)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Clinic/Center (VA)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311

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 Katelyn Nichols's NPI number?

The NPI number for Katelyn Nichols is 1093062424. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Katelyn Nichols located?

Katelyn Nichols practices at 2851 University Ave, Green Bay, WI 54311. The listed phone number is (920) 431-2500.

What is Katelyn Nichols's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Katelyn Nichols was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.