DR. KIMBERLY LYNN NICOLL M.D.
NPI 1679758809
Clinic/Center - Multi-Specialty in Lansdowne, VA

Q: What is Kimberly Nicoll's NPI number?

The NPI number for Kimberly Nicoll is 1679758809. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Q: What is Kimberly Nicoll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Nicoll was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 07, 2008

19415 DEERFIELD AVE STE 209, LANSDOWNE, VA 20176(571) 375-6712 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Jan 14, 2022, Jul 22, 2021 (3 updates tracked since 2021).

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About Dr. Kimberly Lynn Nicoll M.d. NPPES

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

DR. KIMBERLY LYNN NICOLL M.D. (NPI 1679758809) is an individual multi-specialty provider in Lansdowne, Virginia, licensed in Virginia (0101249379) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1679758809

Entity TypeIndividualFemale

Primary Taxonomy261QM1300X

Provider Legal NameDR. KIMBERLY LYNN NICOLLCredential: M.D.

Location Address19415 DEERFIELD AVE STE 209Lansdowne, VA 20176-8471

Mailing Address19415 Deerfield Ave Ste 209Lansdowne, VA 20176-8471

Phone(571) 375-6712

Sole ProprietorYes

Enumeration DateJanuary 7, 2008

Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1679758809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in VA · 0101249379

19415 DEERFIELD AVE STE 209, Lansdowne, VA 20176

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Other Providers at the Same Location NPPES

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

HEALTHY MINDS PSYCHIATRY SERVICES

Psychiatry & Neurology (Psychiatry)

19415 DEERFIELD AVE STE 209
LANSDOWNE, VA 20176

Loudoun County (571) 559-2100

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 Kimberly Nicoll's NPI number?

The NPI number for Kimberly Nicoll is 1679758809. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Kimberly Nicoll located?

Kimberly Nicoll practices at 19415 Deerfield Ave Ste 209, Lansdowne, VA 20176. The listed phone number is (571) 375-6712.

What is Kimberly Nicoll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Kimberly Nicoll was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.