Active NPI
Nicole Bureau, B.S/M.S ED
- Specialist
- Saranac Lake, NY
National Provider Identifier
1013489673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 26 Trudeau Rd
Saranac Lake, NY 12983-5637 - Phone
- (518) 891-2258
- NPI assigned
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
26 Trudeau Rd
Saranac Lake, NY 12983-5637
Mailing address
PO Box 31
Saranac Lake, NY 12983-0031
Phone (518) 338-7266
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1040914162 | Other | NY | EARLY CHILDHOOD EDUCATION (BIRTH - GRADE 2) |
| 1040916162 | Other | NY | STUDENTS WITH DISIBILITIES (GRADES 1-6) |
| 2624010 | Other | NY | NYS TEACHER'S CERTIFICATE (B-2) |
| 1040915162 | Other | NY | NYS CHILDHOOD EDUCATION TEACHERS CERTIFICATE (GRADES 1-6) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1013489673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129830031",
"telephone_number": "518-338-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 TRUDEAU RD",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835637",
"telephone_number": "518-891-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUREAU",
"first_name": "NICOLE",
"credential": "B.S/M.S ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY CHILDHOOD EDUCATION (BIRTH - GRADE 2)",
"identifier": "1040914162",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENTS WITH DISIBILITIES (GRADES 1-6)",
"identifier": "1040916162",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS TEACHER'S CERTIFICATE (B-2)",
"identifier": "2624010",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS CHILDHOOD EDUCATION TEACHERS CERTIFICATE (GRADES 1-6)",
"identifier": "1040915162",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.