Alicia Dantzler, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

737091-1 Issued in NY

Practice address

929 York St
Utica, NY 13502-3929

Phone

(315) 368-6746

NPI assigned

May 3, 2022

Last updated

May 3, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1114662228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FAIRFAX PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025808",
            "telephone_number": "315-368-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 YORK ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023929",
            "telephone_number": "315-368-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "ALICIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "737091-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156002667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Damico, LMSW
• Tien Dang, DO
• Jill Dangler, RN
• Daniel F Colino, Inc.
• Daniel G Herbowy (Foot Doctors of Utica, PC)
• Tressa Dare
• David Darmody, RPA-C
• Brett Darrow, PT
• Archana Das, MD
• Shweta Das, MD

• School Registered Nurse in Utica, NY
• Providers in Utica, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.