Nicolette Brooke Olree, DC, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006254-1 Issued in NY

Practice address

669 Route 31
Macedon, NY 14502-9107

Phone

(315) 310-5538

NPI assigned

May 15, 2018

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victor Acupuncture, PLLC

  dba Longevity Complementary Care Center

  • Acupuncturist
  • Macedon, NY
  • NPI 1912371857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1023508108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 COUNTY HOUSE RD APT B",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131659470",
            "telephone_number": "989-255-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029107",
            "telephone_number": "315-310-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLREE",
        "first_name": "NICOLETTE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012895-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006254-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April McEvoy-Alvarez, LMHC
• Christine Miller, LPN
• Nancy Moon
• Sonya M Nash, PHARMD
• Cesar Riveral Nava Jr., ATC
• Anna Parrish, DPT
• Timothy John Pembroke, PT
• Megan Veronica Powell
• Kevin Printup, DPT
• Coleen R Riccione, PT

• Acupuncturist in Macedon, NY
• Providers in Macedon, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.