Active NPI
Nicole L Seymour, RN
- Registered Nurse
- Bainbridge, NY
National Provider Identifier
1184599482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 690928
- Practice address
- 18 Juliand St
Bainbridge, NY 13733-1025 - Phone
- (607) 967-6313
- Fax
- (607) 967-6345
- NPI assigned
- Oct 7, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 690928 | NY | Primary |
Addresses
Primary practice location
18 Juliand St
Bainbridge, NY 13733-1025
Mailing address
795 Sheep Pen Rd
Unadilla, NY 13849-2112
Phone (607) 760-8408
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 690928 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bainbridge-Guilford Central School | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Bainbridge, NY
- NPI 1669539995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1184599482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 SHEEP PEN RD",
"city": "UNADILLA",
"state": "NY",
"postal_code": "138492112",
"telephone_number": "607-760-8408",
"fax_number": "607-967-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 JULIAND ST",
"city": "BAINBRIDGE",
"state": "NY",
"postal_code": "137331025",
"telephone_number": "607-967-6313",
"fax_number": "607-967-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYMOUR",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "690928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.