Nicole Bordeaux, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

534829-1 Issued in NY

Practice address

6795 State Route 21
Almond, NY 14804-9716

Phone

(607) 276-6535

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alfred-Almond Central School

  • Local Education Agency (LEA)
  • Almond, NY
  • NPI 1124158878
  NPD (past)

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1174988315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 STATE ROUTE 21",
            "city": "ALMOND",
            "state": "NY",
            "postal_code": "148049716",
            "telephone_number": "607-276-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 STATE ROUTE 21",
            "city": "ALMOND",
            "state": "NY",
            "postal_code": "148049716",
            "telephone_number": "607-276-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "534829-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred-Almond Central School
• Diane L Davis
• Kimberly Mildred Guthrie, LMHC
• Kenyon Counseling LCSW PLLC
• Karleigh Ann Ormsby, R.N.
• Benjamin H Palmer IV, M.A. CCC-SLP

• Registered Nurse in Almond, NY
• Providers in Almond, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.