Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Nichols

Individual provider Home Health Clinical Nurse Specialist · NPI 1255403242

Beverly Nichols is a Home Health Clinical Nurse Specialist in Kew Gardens, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3

Practice location Address checks out

12510 Queens Blvd
Kew Gardens, NY 11415-1519
Phone: (718) 459-5592
Fax: (718) 459-6047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9569L001 (NY)
Home Health Clinical Nurse Specialist Taxonomy 364SH0200X · Licence 9569L001 (NY)
Home Health Aide Taxonomy 374U00000X · Licence 9569L001 (NY)

Record details

NPI number1255403242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESDecember 13, 2021
Certification dateNovember 23, 2021