NICOLE NKECHINYERE UTAH MD
NPI 1205639960
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Nicole Utah's NPI number?

The NPI number for Nicole Utah is 1205639960. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Nicole Utah'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 Nicole Utah was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2025PECOS Enrolled

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicole Nkechinyere Utah Md NPPES

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

NICOLE NKECHINYERE UTAH MD (NPI 1205639960) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205639960

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE NKECHINYERE UTAHCredential: MD

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238

Phone(215) 662-4000

Sole ProprietorNo

Enumeration DateMarch 28, 2025

NPPES CertifiedMarch 28, 2025

✔ NPI 1205639960 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.

3400 SPRUCE ST, Philadelphia, PA 19104

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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)

Nicole Nkechinyere Utah 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.

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