1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JORDAN TIAN NICHOLS MD
NPI 1225897713
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 18, 2024PECOS Enrolled
1701 W CHARLESTON BLVD STE 490, LAS VEGAS, NV 89102(702) 671-2273 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Tian Nichols Md NPPES

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

JORDAN TIAN NICHOLS MD (NPI 1225897713) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225897713
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN TIAN NICHOLSCredential: MD
Location Address1701 W CHARLESTON BLVD STE 490Las Vegas, NV 89102-2309
Mailing Address1701 W Charleston Blvd Ste 490Las Vegas, NV 89102-2309
Phone(702) 671-2273
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 16, 2024
✔ NPI 1225897713 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.
1701 W CHARLESTON BLVD STE 490, Las Vegas, NV 89102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Tian 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.

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.

TIFFANY ZEN YU MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273
NATHAN JON LLOYD MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
MARY FROEHLICH
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273
NATALIE DEMIRJIAN
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
KENNY HOANG DO
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
EMILY SUSAN SAGALOW
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-6474
BRENT PATRICK BLACKWELL
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273
NICHOLAS ALASTAIR LIU
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV 89102
Clark County (702) 671-2273

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 Jordan Nichols's NPI number?

The NPI number for Jordan Nichols is 1225897713. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Jordan Nichols located?

Jordan Nichols practices at 1701 W Charleston Blvd Ste 490, Las Vegas, NV 89102. The listed phone number is (702) 671-2273.

What is Jordan Nichols's specialty?

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

Is Jordan Nichols enrolled in Medicare?

Yes. Jordan Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Nichols was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.