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NICOLE CHITTUM RN
NPI 1093530149
Nurse Practitioner - Psychiatric/Mental Health in Huntington Beach, CA

Active since November 22, 2024
5331 EL DORADO DR, HUNTINGTON BEACH, CA 92649(949) 775-1785 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Mar 23, 2026, Nov 22, 2024 (3 updates tracked since 2024).

About Nicole Chittum Rn NPPES

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

NICOLE CHITTUM RN (NPI 1093530149) is an individual psychiatric/mental health provider in Huntington Beach, California, licensed in California (95037976) and active in the NPI registry since November 2024. She maintains a secondary practice location in Fountain Valley.

NPPES Registry Identity

NPI1093530149
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE CHITTUMCredential: RN
Location Address5331 EL DORADO DRHuntington Beach, CA 92649-4567
Mailing Address18111 Brookhurst StFountain Valley, CA 92708-6728
Phone(949) 775-1785
Sole ProprietorNo
Enumeration DateNovember 22, 2024
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1093530149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95037976
Also ListedRegistered NurseTaxonomy 163W00000X · License 95225751 (CA)
5331 EL DORADO DR, Huntington Beach, CA 92649
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Secondary Practice Location 1

Location 118111 Brookhurst StFountain Valley, CA 92708-6728 · Phone (714) 378-7000

Other Providers at the Same Location NPPES

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

FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
5331 EL DORADO DR
HUNTINGTON BEACH, CA 92649
Orange County (949) 775-1785

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 Nicole Chittum's NPI number?

The NPI number for Nicole Chittum is 1093530149. It was assigned to this individual provider in the NPPES registry on November 22, 2024.

Where is Nicole Chittum located?

Nicole Chittum practices at 5331 El Dorado Dr, Huntington Beach, CA 92649. The listed phone number is (949) 775-1785.

What is Nicole Chittum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nicole Chittum was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.