DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1467617126

NPI Code Detail

MEDICARE: DR. JENNIFER LYNN NICHOLAS MD

MEDICARE: DR. JENNIFER LYNN NICHOLAS MD

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	2085P0229X	Pediatric Radiology Physician	2016025902	MO
2	2085P0229X	Pediatric Radiology Physician	DR.0076150	CO
3	2085P0229X	Pediatric Radiology Physician	57289	KY
4	2085R0202X	Diagnostic Radiology Physician	35.093145	OH
5	2085P0229X	Pediatric Radiology Physician	35.093145	OH

General Provider Information

NPI Number	:	1467617126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LYNN NICHOLAS MD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3188 BELLEVUE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2364
Country	:	US
Telephone Number	:	513-584-4391
Fax Number	:	513-584-0431

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	03/24/2026

Similar Medicare Providers

1417895863 — GNANA PRIYANKA LALAGIRI MD
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45219-2364

Practice Phone: 513-558-7043
Practice Fax:

1104685320 — KAIWEN CHEN MD
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45219-2364

Practice Phone: 513-558-4198
Practice Fax:

1497916852 — MARSHALL KONG M.D.
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45219-2364

Practice Phone: 513-584-2146
Practice Fax: 513-584-0431

1891798187 — JODY BRENNAN CNM
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45219-2364

Practice Phone: 513-584-2230
Practice Fax:

1780687079 — SUSAN KATHRYN COMTE CNM
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45219-2364

Practice Phone: 513-584-4081
Practice Fax: 513-584-2579

1285631499 — HENRY CLAUDE SAGI MD
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45219-2364

Practice Phone: 513-475-8690
Practice Fax: 513-475-7257

Directions to “ DR. JENNIFER LYNN NICHOLAS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.