Nicole Alana Northrup

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

715382 Issued in NY

Practice address

665 Ayrault Rd
Fairport, NY 14450-3000

Phone

(585) 421-2067

NPI assigned

Nov 23, 2021

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1194482331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WILLOWICK DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508904",
            "telephone_number": "585-245-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 AYRAULT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503000",
            "telephone_number": "585-421-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "NICOLE",
        "middle_name": "ALANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "715382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newstar Transport Service
• Jessica Nichols
• Kara Sue Noble
• Karen W Nolan, P.T.
• Jeannine Noonan, RN
• Northwestern Finger Lakes Medical
• Nu-Life Medical Equipment and Supplies, Inc
• Patrick M Nunno, M.D.
• Mary Kay Nye, MS, SLP-CCC
• Nysarc Inc (Monroe County Chapter DT Fairport)

• School Registered Nurse in Fairport, NY
• Providers in Fairport, 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 Nov 23, 2021; 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.