MS. SAVANNAH JOY MARIANO NICHOLS MD
NPI 1104674225
Student in an Organized Health Care Education/Training Program in Tyler, TX

Q: What is Savannah Nichols's NPI number?

The NPI number for Savannah Nichols is 1104674225. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Savannah Nichols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Savannah Nichols was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2024PECOS Enrolled

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Savannah Joy Mariano Nichols Md NPPES

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

MS. SAVANNAH JOY MARIANO NICHOLS MD (NPI 1104674225) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10090416) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104674225

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. SAVANNAH JOY MARIANO NICHOLSCredential: MD

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200

Phone(903) 877-7200

Sole ProprietorNo

Enumeration DateMay 13, 2024

NPPES CertifiedMay 13, 2024

✔ NPI 1104674225 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

License✔ Licensed in TX · BP10090416

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.

11937 US HIGHWAY 271, Tyler, TX 75708

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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)

Ms. Savannah Joy Mariano Nichols 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.