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DR. RANDALL LAT TAYLOR NICHOLS DO
NPI 1447046859
Student in an Organized Health Care Education/Training Program in Waco, TX

Active since April 15, 2025
1600 PROVIDENCE DR, WACO, TX 76707(254) 313-4200 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall Lat Taylor Nichols Do NPPES

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

DR. RANDALL LAT TAYLOR NICHOLS DO (NPI 1447046859) is an individual student in an organized health care education/training program in Waco, Texas and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1447046859
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RANDALL LAT TAYLOR NICHOLSCredential: DO
Location Address1600 PROVIDENCE DRWaco, TX 76707-2261
Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200
Phone(254) 313-4200
Sole ProprietorNo
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1447046859 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.
1600 PROVIDENCE DR, Waco, TX 76707
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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.

ALLISON L HULME MD
Family Medicine
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 750-8200
DR. JANET HUGGARD D.D.S.
Dentist
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4900
JACOB LUTGEN
Family Medicine
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4200
DR. RITA L HAWS MD
Family Medicine
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4200
MORGAN NICOLE TOVAR MD
Family Medicine
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4200
DR. CARENA LEE CHAI D.O.
Family Medicine
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4200
EZEKIEL COLEMAN MORGAN LCSW
Social Worker
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4200
JEREMY G KORTEWEG MD
Family Medicine
1600 PROVIDENCE DR
WACO, TX 76707
McLennan County (254) 313-4200

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 Randall Nichols's NPI number?

The NPI number for Randall Nichols is 1447046859. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Randall Nichols located?

Randall Nichols practices at 1600 Providence Dr, Waco, TX 76707. The listed phone number is (254) 313-4200.

What is Randall Nichols'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 Randall Nichols was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.