Active NPI
Nancy Cicciu
- School Registered Nurse
- Ballston Spa, NY
National Provider Identifier
1225467434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 368588
- Practice address
- 300 Wood Rd
Ballston Spa, NY 12020-2246 - Phone
- (518) 884-7270
- Fax
- (518) 884-7268
- NPI assigned
- Nov 7, 2013
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 368588 | NY | Primary |
Addresses
Primary practice location
300 Wood Rd
Ballston Spa, NY 12020-2246
Mailing address
70 Malta Ave
Ballston Spa, NY 12020-1529
Phone (518) 884-7195
Other names 1
- Nancy E Cicciu
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 |
|---|---|---|---|
| 368588 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballston Spa Central | 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)
- Ballston Spa, NY
- NPI 1659437630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1225467434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MALTA AVE",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120201529",
"telephone_number": "518-884-7195",
"fax_number": "518-884-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WOOD RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202246",
"telephone_number": "518-884-7270",
"fax_number": "518-884-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCIU",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "368588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "CICCIU",
"middle_name": "E",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ballston Spa, NY
- Lisa Casey, LMSW
- Mary F. Catalano-Tozier, RPH
- Catholic Charities of Saratoga, Warren and Washington Counties
- Gina Laird Catley
- Cecilia P. Ruelos, M.D.
- Lisa Ciniglia, LMT
- Kirby Kay Lajett Clark, MPC
- Leah Clasen
- Brandon Joel Cohen, PT, DPT
- Community Care Physicians, PC (CapitalCare Family Practice Rowland Street)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.