DR. JOURDAN NICHOLLS, DPM, INC.
NPI 1609188093
Podiatrist in Kennewick, WA

Q: What is Dr. Jourdan Nicholls, Dpm, Inc.'s NPI number?

The NPI number for Dr. Jourdan Nicholls, Dpm, Inc. is 1609188093. It was assigned to this organization in the NPPES registry on July 14, 2010.

Q: What is Dr. Jourdan Nicholls, Dpm, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since July 14, 2010

7103 W GRANDRIDGE BLVD, SUITE F, KENNEWICK, WA 99336(509) 582-2057(509) 374-4945 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jourdan Nicholls, Dpm, Inc. NPPES

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

DR. JOURDAN NICHOLLS, DPM, INC. (NPI 1609188093) is a healthcare organization registered as a podiatrist in Kennewick, Washington and active in the NPI registry since July 2010. The organization lists Jourdan Clive Nicholls, Physician, as its authorized official.

NPPES Registry Identity

NPI1609188093

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameDR. JOURDAN NICHOLLS, DPM, INC.

Location Address7103 W GRANDRIDGE BLVD, SUITE FKennewick, WA 99336-6713

Mailing Address7103 W Grandridge Blvd, Suite FKennewick, WA 99336-6713 · (509) 582-2057 · Fax (509) 374-4945

Phone(509) 582-2057

Fax(509) 374-4945

Organization SubpartNo

Authorized OfficialJourdan Clive NichollsPhysician · (509) 582-2057

Enumeration DateJuly 14, 2010

✔ NPI 1609188093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in WA · PO 549

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

7103 W GRANDRIDGE BLVD, Kennewick, WA 99336

Open in Google Maps ↗

Other Identifiers 3

Medicaid1101377WA

Medicare PINAB00833WA

Medicare UPINU58084WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXCARE LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

7103 W GRANDRIDGE BLVD, SUITE A
KENNEWICK, WA 99336

Benton County (509) 619-1498

DR. THOMAS UY TAN MD

Internal Medicine (Pulmonary Disease)

7103 W GRANDRIDGE BLVD, SUITE D
KENNEWICK, WA 99336

Benton County (509) 735-9001

MR. ROBERT DANA ANDERSON DC

Chiropractor

7103 W GRANDRIDGE BLVD, SUITE #B
KENNEWICK, WA 99336

Benton County (509) 783-7363

MR. JOURDAN CLIVE NICHOLLS DPM

Podiatrist

7103 W GRANDRIDGE BLVD, SUITE F
KENNEWICK, WA 99336

Benton County (509) 582-2057

TYLER MORGAN

Dentist

7103 W GRANDRIDGE BLVD
KENNEWICK, WA 99336

Benton County (509) 737-1800

THOMAS TAN MD PC

Internal Medicine (Pulmonary Disease)

7103 W GRANDRIDGE BLVD, STE D
KENNEWICK, WA 99336

Benton County (509) 735-9001

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 Dr. Jourdan Nicholls, Dpm, Inc.'s NPI number?

The NPI number for Dr. Jourdan Nicholls, Dpm, Inc. is 1609188093. It was assigned to this organization in the NPPES registry on July 14, 2010.

Where is Dr. Jourdan Nicholls, Dpm, Inc. located?

Dr. Jourdan Nicholls, Dpm, Inc. is located at 7103 W Grandridge Blvd Suite F, Kennewick, WA 99336. The listed phone number is (509) 582-2057.

What is Dr. Jourdan Nicholls, Dpm, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Dr. Jourdan Nicholls, Dpm, Inc. was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.