Individual provider Active NPI

Nicole M Golding

  • Adult Health Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1033703087
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310188 Issued in NY
Practice address
225 Como Park Blvd
Cheektowaga, NY 14227-1480
Phone
(716) 686-8000
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310188 NY Primary

Addresses

Primary practice location

225 Como Park Blvd
Cheektowaga, NY 14227-1480

Mailing address

12442 Church Rd
Holland, NY 14080-9745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621003087 NY Practitioner - Nurse Practitioner 3678973153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310188NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Medical Partners, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Hospice Buffalo, Inc. Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

225 Como Park Blvd
Cheektowaga, NY 14227
Phone (716) 686-1900

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1033703087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12442 CHURCH RD",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMO PARK BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271480",
            "telephone_number": "716-686-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDING",
        "first_name": "NICOLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.