KATHERINE E NICOLICH DO
NPI 1417709379
Student in an Organized Health Care Education/Training Program in Coeur D Alene, ID
About Katherine E Nicolich Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE E NICOLICH DO (NPI 1417709379) is an individual student in an organized health care education/training program in Coeur D Alene, Idaho and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine E Nicolich Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Katherine Nicolich's NPI number?
The NPI number for Katherine Nicolich is 1417709379. It was assigned to this individual provider in the NPPES registry on April 3, 2024.
Where is Katherine Nicolich located?
Katherine Nicolich practices at 1919 Lincoln Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6000.
What is Katherine Nicolich's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Katherine Nicolich enrolled in Medicare?
Yes. Katherine Nicolich is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katherine Nicolich was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Katherine E Nicolich, DO · NPI 1417709379
Student in an Organized Health Care Education/Training Program provider in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1417709379 (Entity type: Individual)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 LINCOLN WAY, Coeur D Alene, ID 83814-2527
- **Phone:** (208) 625-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1417709379) · Data from the CMS NPPES public registry.