Active NPI
Nichole M. Oates, R.D.H.
- Dental Hygienist
- Poughkeepsie, NY
National Provider Identifier
1154558336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 025651
- Practice address
- 29 N Hamilton St
Hudson River Healthcare, Inc.
Poughkeepsie, NY 12601-2541 - Phone
- (845) 454-8204
- Fax
- (845) 454-8247
- NPI assigned
- Jun 16, 2009
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 025651 | NY | Primary |
Addresses
Primary practice location
29 N Hamilton St
Hudson River Healthcare, Inc.
Poughkeepsie, NY 12601-2541
Mailing address
1200 Brown St
Attn: Credentialing
Peekskill, NY 10566-3617
Phone (914) 734-8858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473038 | Medicaid | NY |
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 |
|---|---|---|---|
| 025651 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1154558336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BROWN ST",
"address_2": "ATTN: CREDENTIALING",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105663617",
"telephone_number": "914-734-8858",
"fax_number": "914-734-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N HAMILTON ST",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012541",
"telephone_number": "845-454-8204",
"fax_number": "845-454-8247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OATES",
"first_name": "NICHOLE",
"middle_name": "M.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "025651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473038",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.