Nicole McKeown

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

352239 Issued in NY

Practice address

3292 Elliott Blvd
Oceanside, NY 11572-3612

Phone

(516) 359-5677

NPI assigned

Mar 31, 2025

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1164225538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 ELLIOTT BLVD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 ELLIOTT BLVD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723612",
            "telephone_number": "516-359-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "352239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Bridget McDonald, M.D.
• Sara Ann McDougal, PHARMD
• Gina McGarry, L.C.S.W.
• James Gladney McGee IV, MD, MSCR
• Amanda Rose McGowan, PA-C
• Paige McMahon, OTD, OTR/L
• Elise Marie McNeil, SLP
• Kara McNeil
• Taryn McNeil, NP
• Tiffany M McNeil

• Primary Care Nurse Practitioner in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.