Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COURTNEY KEYONNA NICHOLS
NPI 1598679516
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since September 29, 2026
4321 S SAINT LAWRENCE AVE APT 2S, CHICAGO, IL 60653(312) 636-0101 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Courtney Keyonna Nichols NPPES

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

COURTNEY KEYONNA NICHOLS (NPI 1598679516) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (041513709) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1598679516
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCOURTNEY KEYONNA NICHOLS
Location Address4321 S SAINT LAWRENCE AVE APT 2SChicago, IL 60653-2730
Mailing Address4321 S Saint Lawrence Ave Unit 2Chicago, IL 60653-2730 · (312) 636-0101
Sole ProprietorNo
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1598679516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in IL · 041513709
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.
4321 S SAINT LAWRENCE AVE APT 2S, Chicago, IL 60653

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 Courtney Nichols's NPI number?

The NPI number for Courtney Nichols is 1598679516. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Courtney Nichols located?

Courtney Nichols practices at 4321 S Saint Lawrence Ave Apt 2S, Chicago, IL 60653. The listed phone number is (312) 636-0101.

What is Courtney 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 Courtney Nichols was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.