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

Katie Elizabeth Nichols, PA-C

Individual provider Surgical Physician Assistant · NPI 1700447141

Katie Elizabeth Nichols, PA-C is a Surgical Physician Assistant in Nampa, Idaho. Works from 2 locations. Licensed in Florida and Idaho.

Licensed in
FL, ID
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4400 E Flamingo Ave Ste 200
Nampa, ID 83687-9203
Phone: (208) 302-2700
Fax: (208) 367-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1072 N Liberty St Ste 201, Boise, ID 83704 — (208) 302-2400

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-1889 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9112309 (FL)

Record details

NPI number1700447141
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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