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

David E Nichols

Individual provider Registered Nurse · NPI 1588933592

David E Nichols is a Nurse Practitioner in Santa Rosa, California. Qualified in 2015, 11 years ago. Practices with County of Sonoma, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

3333 Chanate Rd
Santa Rosa, CA 95404-1707 Not confirmed with CMS for 10 years — call before visiting
Phone: (707) 565-7829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95004102 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN795142 (CA)

Record details

NPI number1588933592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 20, 2011
Last updated in NPPESJuly 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice County Of Sonoma — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Rosa