Active NPI
Nicole Marie Falardeau
- Registered Nurse
- Malone, NY
National Provider Identifier
1104586411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 781208-01
- Practice address
- 31 6TH St
Malone, NY 12953-1246 - Phone
- (518) 651-2762
- NPI assigned
- Dec 28, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 781208-01 | NY | Primary |
Addresses
Primary practice location
31 6TH St
Malone, NY 12953-1246
Mailing address
5297 CR 6
Ogdensburg, NY 13669-4336
Phone (315) 854-3913
Other names 1
- Nicole Marie Bishop
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781208-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1104586411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5297 CR 6",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136694336",
"telephone_number": "315-854-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 6TH ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531246",
"telephone_number": "518-651-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALARDEAU",
"first_name": "NICOLE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "781208-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BISHOP",
"middle_name": "MARIE",
"credential": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.