Individual Healthcare Provider
Cynthia Lynn Nicholson, MD
Provider's NPPES record last updated: September 19, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1619381381
- Primary Specialty
- Dermatology — Pediatric Dermatology
- Practice Location
- Minneapolis, Minnesota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:34 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dermatology
Pediatric Dermatology
Allopathic & Osteopathic Physicians
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Taxonomy code 207NP0225X
Provider-Reported License Information
- Dermatology (Minnesota)
- 66969
- Dermatology (Michigan)
- 4301510051
Practice Locations
Practice Location
2450 Riverside Ave
Minneapolis, Minnesota 55454-1450
Phone: (612) 672-6000
Additional Practice Location
1101 W University Dr
3-north
Rochester, Michigan 48307-1863
Phone: (248) 601-4900
Fax: (248) 601-4994
Additional Practice Location
1500 E Medical Center Dr
Ann Arbor, Michigan 48109-5000
Phone: (734) 936-4000
Record Information
- Enumeration Date
- June 20, 2014
- Provider's NPPES Record Last Updated
- September 19, 2023
- Certification Date
- September 19, 2023
- NPISignal NPPES Dataset
- August 2026
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