IndividualActive
Charissa Nicholls, RDN
NPI 1487321980 · Registered Dietitian · Orange Park, FL
Charissa Nicholls, RDN is a Registered Dietitian provider in Orange Park, FL (NPI 1487321980).
Provider details
- NPI number
- 1487321980
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1605 Ibis Dr
Orange Park, FL 32065-8003
Phone: (904) 631-0540
Street-level locationGet directions
Mailing address
1605 Ibis Dr
Orange Park, FL 32065-8003
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Frequently asked questions
- What is Charissa Nicholls's NPI number?
- Charissa Nicholls's National Provider Identifier (NPI) is 1487321980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charissa Nicholls's specialty?
- Charissa Nicholls is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Charissa Nicholls located?
- Charissa Nicholls's practice location on file with NPPES is 1605 Ibis Dr, Orange Park, FL 32065-8003.
- What is Charissa Nicholls's phone number?
- The practice phone number listed in the NPPES registry for Charissa Nicholls is (904) 631-0540.
- Is Charissa Nicholls's NPI active?
- Yes — Charissa Nicholls's NPI (1487321980) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.