Sophia Kiciuk, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F330452-1 Issued in NY

Practice address

1111 Westchester Ave
Pepsico Employee Health Office
White Plains, NY 10604-3525

Phone

(914) 253-2770

Fax

(914) 253-3557

NPI assigned

Oct 28, 2008

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

Other names 1

• Sonia Kiciuk Other name

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1114170701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043525",
            "telephone_number": "914-253-2770",
            "fax_number": "914-253-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WESTCHESTER AVE",
            "address_2": "PEPSICO EMPLOYEE HEALTH OFFICE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043525",
            "telephone_number": "914-253-2770",
            "fax_number": "914-253-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICIUK",
        "first_name": "SOPHIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "KICIUK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.