Nicole Pilgrim

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336711-01 Issued in NY

Practice address

450 Mamaroneck Ave
Harrison, NY 10528-2400

Phone

(914) 345-8500

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1033741525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282400",
            "telephone_number": "914-345-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILGRIM",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336711-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pheba Susan Petit-Frere, DPT
• David Mark Petrucco, DDS
• Pharamcy Center Inc (Pharmacy Center)
• Imani Pierre
• Danielle Pignatelli
• Ashley Pereira Pinto, LMSW
• Pisarenko Medical PLLC
• Vadim Pisarenko, M.D.
• Michele Pitale, M.D.
• Plastic Surgery of Westchester

• Licensed Practical Nurse in Harrison, NY
• Providers in Harrison, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.