1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Physician Assistant
  6. NPI Profile

MS. SUSAN KAY NICHOLSON P.A.
NPI 1275546020
Physician Assistant in Saint Louis, MO

Active since August 14, 2006
915 N GRAND BLVD, 111-JC/GI, SAINT LOUIS, MO 63106(314) 652-4100(314) 289-7035 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Susan Kay Nicholson P.a. NPPES

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

MS. SUSAN KAY NICHOLSON P.A. (NPI 1275546020) is an individual physician assistant in Saint Louis, Missouri and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275546020
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SUSAN KAY NICHOLSONCredential: P.A.
Location Address915 N GRAND BLVD, 111-JC/GISaint Louis, MO 63106-1621
Mailing Address915 N Grand Blvd, 111-jc/giSaint Louis, MO 63106-1621 · (314) 652-4100 · Fax (314) 289-7035
Phone(314) 652-4100
Fax(314) 289-7035
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275546020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
915 N GRAND BLVD, Saint Louis, MO 63106
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Susan Kay Smitley P.a.

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.

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

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 Susan Nicholson's NPI number?

The NPI number for Susan Nicholson is 1275546020. It was assigned to this individual provider in the NPPES registry on August 14, 2006. The provider is also known as Ms. Susan Kay Smitley P.A..

Where is Susan Nicholson located?

Susan Nicholson practices at 915 N Grand Blvd 111-Jc/Gi, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Susan Nicholson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susan Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.