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KEATON NICHOLSON
NPI 1902749864
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since April 13, 2026
140 E BOISE AVE, BOISE, ID 83706(208) 385-9228 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keaton Nicholson NPPES

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

KEATON NICHOLSON (NPI 1902749864) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1902749864
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameKEATON NICHOLSON
Location Address140 E BOISE AVEBoise, ID 83706-4302
Mailing Address140 E Boise AveBoise, ID 83706-4302
Phone(208) 385-9228
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1902749864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
140 E BOISE AVE, Boise, ID 83706
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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.

RANDY DEMETTER DDS
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
DR. JACK H LINCKS DDS, MS
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
DR. STEPHEN A. MORRIS D.D.S. M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
140 E BOISE AVE, SUITE B
BOISE, ID 83706
Ada County (208) 344-4334
DR. JOHN HOWELL MUMFORD D.M.D.
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
PERIODONTAL HEALTH SPECIALISTS OF IDAHO
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
STEPHEN A. MORRIS
Dentist (Orthodontics and Dentofacial Orthopedics)
140 E BOISE AVE, SUITE B
BOISE, ID 83706
Ada County (208) 344-4334

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 Keaton Nicholson's NPI number?

The NPI number for Keaton Nicholson is 1902749864. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Keaton Nicholson located?

Keaton Nicholson practices at 140 E Boise Ave, Boise, ID 83706. The listed phone number is (208) 385-9228.

What is Keaton Nicholson'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 Keaton Nicholson was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.