Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013677020 Individual Practitioner Female Practitioner

Keyana Nicholson

Licensed Practical Nurse • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Keyana Nicholson is a registered healthcare professional specializing in Licensed Practical Nurse in Olympia, WA. Practice services are available at 3436 MARY ELDER RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3436 Mary Elder Rd Ne

Olympia, WA 985065050

Telephone 3605282590
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
58 Specialists

Practicing in Olympia, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60927578

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003415506

Music Therapist - Board Certified, AAC

Mary Bol

Counselor - Mental Health

NPI 1003440405
Shadonna Klinkenberg , RN

Counselor - Mental Health

NPI 1003643842

Registered Nurse

NPI 1003759077
Luke Bryant

Counselor - Mental Health

NPI 1013779362
Gloria Chunn , BA

Specialist/Technologist, Health Information

NPI 1013795400

Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2021

Registered at 3436 MARY ELDER RD NE, OLYMPIA, WA 985065050 (Tel: 3605282590)

📍
Updated Business Mailing Address December 20, 2021

Registered at 5010 4TH WAY SW APT 202, OLYMPIA, WA 985022408 (Tel: 7068012627)

👤
Provider Name / Credentials Updated December 20, 2021

Recorded as KEYANA NICHOLSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2021

Licensed Practical Nurse (License #LP60927578 in WA)

🟢
Initial NPI Registration & Enumeration December 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013677020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2021
Last Update: December 20, 2021
Sole Proprietor: Yes

Mailing Address

5010 4th Way Sw Apt 202

Olympia, WA 985022408

Phone: 7068012627

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.