MEDICARE: NICOLA HYDE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1326991910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLA HYDE

Provider Business Mailing Address
First Line	:	20 WESTMINSTER ST APT 2L
Second Line	:
City	:	HYDE PARK
State	:	MA
Zip	:	02136-1854
Country	:	US
Telephone Number	:	617-465-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 50TH PL NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4008
Country	:	US
Telephone Number	:	617-465-2787
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/17/2026

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Directions to “ NICOLA HYDE ” Practice Location

Language	Start Address	Practice Location

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