MEDICARE: NICHOLE S THOMAS CHC, CNC, CCHW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	132700000X	Dietary Manager
2	133NN1002X	Nutrition Education Nutritionist
3	171400000X	Health & Wellness Coach
4	174H00000X	Health Educator
5	172M00000X	Mechanotherapist

General Provider Information

NPI Number	:	1134810542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLE S THOMAS CHC, CNC, CCHW

Provider Business Mailing Address
First Line	:	1820 W 43RD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-3006
Country	:	US
Telephone Number	:	832-356-9793
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 W 43RD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-3006
Country	:	US
Telephone Number	:	832-356-9793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	10/31/2025

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Directions to “ NICHOLE S THOMAS CHC, CNC, CCHW” Practice Location

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