Keyana Nicholson
Licensed Practical Nurse • Olympia, WA
3436 Mary Elder Rd Ne
Olympia, WA 985065050
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
3436 Mary Elder Rd Ne
Olympia, WA 985065050
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Licensed Practical Nurse: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Olympia and Washington
57 active clinicians are listed under Licensed Practical Nurse with a practice address in Olympia, WA (1,691 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Olympia
0% of these 57 clinicians have the CMS telehealth indicator.
0% of these 57 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-12-20NUCC Taxonomy Code: 164W00000X
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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Advanced Practice Registered Nurse
Registered Nurse - Psychiatric/Mental Health
Registered Nurse
Psychologist
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated December 20, 2021.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2022 to August 2026.
NPI Administrative Meta
Mailing Address
5010 4th Way Sw Apt 202
Olympia, WA 985022408
Phone: 7068012627