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ADAM NICODEMUS
NPI 1245648930
Student in an Organized Health Care Education/Training Program in Columbia City, IN

Active since July 26, 2014
2400 N 450 W, COLUMBIA CITY, IN 46725(260) 239-5177 Get Directions Write a Review

NPPES record last updated: July 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Nicodemus NPPES

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

ADAM NICODEMUS (NPI 1245648930) is an individual student in an organized health care education/training program in Columbia City, Indiana, licensed in Indiana (36002136A) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1245648930
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM NICODEMUS
Location Address2400 N 450 WColumbia City, IN 46725-9141
Mailing Address2400 N 450 WColumbia City, IN 46725-9141 · (260) 239-5177
Phone(260) 239-5177
Sole ProprietorNo
Enumeration DateJuly 26, 2014
✔ NPI 1245648930 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 IN · 36002136A
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.
2400 N 450 W, Columbia City, IN 46725
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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 Adam Nicodemus's NPI number?

The NPI number for Adam Nicodemus is 1245648930. It was assigned to this individual provider in the NPPES registry on July 26, 2014.

Where is Adam Nicodemus located?

Adam Nicodemus practices at 2400 N 450 W, Columbia City, IN 46725. The listed phone number is (260) 239-5177.

What is Adam Nicodemus's specialty?

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

When was this NPI record last updated?

The NPPES record for Adam Nicodemus was last updated on July 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.