DR. KIM MYRUTH NICHOLS M.D.
NPI 1679513212
Dermatology in Greenwich, CT

Active since June 08, 2006
469 W PUTNAM AVE, SUITE 201, GREENWICH, CT 06830(203) 862-4000(203) 862-4008 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dermatology

About KIM NICHOLS

This page provides the complete NPI Profile along with additional information for Kim Nichols, a provider established in Greenwich, Connecticut with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1679513212 assigned on June 2006. The practitioner's primary taxonomy code is 207N00000X with license number 051631 (CT). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1679513212 Verify this NPI
Provider Name
DR. KIM MYRUTH NICHOLS M.D.
Gender
Female
Entity Type
Individual
Location Address
469 W PUTNAM AVE SUITE 201 GREENWICH, CT 06830
Location Phone
(203) 862-4000
Location Fax
(203) 862-4008
Mailing Address
469 W PUTNAM AVE SUITE 201 GREENWICH, CT 06830
Mailing Phone
(203) 862-4000
Mailing Fax
(203) 862-4008
Is Sole Proprietor?
Yes
Enumeration Date
06-08-2006
Last Update Date
01-06-2014
Code Navigator

A dermatologist like Kim Nichols is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
051631
License State
CT
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

239556 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I55552MEDICARE UPIN (02)NY 
3K8331MEDICARE ID-TYPE UNSPECIFIED (04)NY 
051631OTHER (01)CTSTATE LICENSE

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Specialist
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830
Rehabilitation Unit
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830
Physical Therapist
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830
Physical Therapist
469 W PUTNAM AVE
GREENWICH, CT 06830
Physical Therapist
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679513212, enumerated as an "individual" on June 08, 2006.

The provider is located at 469 W PUTNAM AVE SUITE 201 GREENWICH, CT 06830 and the phone number is (203) 862-4000.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.