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KEITH NICHOLS
NPI 1588511786
Emergency Medical Technician, Intermediate in Moffett Field, CA

Active since March 16, 2026
680 MACON RD, MOFFETT FIELD, CA 94035(253) 266-3622 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keith Nichols NPPES

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

KEITH NICHOLS (NPI 1588511786) is an individual emergency medical technician, intermediate provider in Moffett Field, California, licensed in (A2058105) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1588511786
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameKEITH NICHOLS
Location Address680 MACON RDMoffett Field, CA 94035-1005
Mailing Address680 Macon RdMoffett Field, CA 94035-1005
Phone(253) 266-3622
Sole ProprietorNo
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1588511786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License✔ Licensed · A2058105
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
680 MACON RD, Moffett Field, CA 94035
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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 Keith Nichols's NPI number?

The NPI number for Keith Nichols is 1588511786. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Keith Nichols located?

Keith Nichols practices at 680 Macon Rd, Moffett Field, CA 94035. The listed phone number is (253) 266-3622.

What is Keith Nichols's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Keith Nichols was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.