CHANDELLE RAE NICHOLS DO
NPI 1144021445
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Chandelle Nichols's NPI number?

The NPI number for Chandelle Nichols is 1144021445. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Q: What is Chandelle 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 Chandelle Nichols was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2025PECOS Enrolled

2880 N TENAYA WAY FL 2, LAS VEGAS, NV 89128(702) 480-8916 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Mar 22, 2025 (2 updates tracked since 2025).

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About Chandelle Rae Nichols Do NPPES

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

CHANDELLE RAE NICHOLS DO (NPI 1144021445) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144021445

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCHANDELLE RAE NICHOLSCredential: DO

Location Address2880 N TENAYA WAY FL 2Las Vegas, NV 89128-0618

Mailing Address2880 N Tenaya Way Fl 2Las Vegas, NV 89128-0618

Phone(702) 480-8916

Sole ProprietorNo

Enumeration DateMarch 22, 2025

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1144021445 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.

2880 N TENAYA WAY FL 2, Las Vegas, NV 89128

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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)

Chandelle Rae Nichols Do 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 20

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

TOMMY CUONG VU MD

Student in an Organized Health Care Education/Training Program