Individual provider Active NPI

Athina Nicolaou, NP

  • Family Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1265141030
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349245 Issued in NY
Practice address
3607 30TH Ave
Astoria, NY 11103-4366
Phone
(718) 675-3800
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349245 NY Primary
Registered Nurse 163W00000X 745476 NY

Addresses

Primary practice location

3607 30TH Ave
Astoria, NY 11103-4366

Mailing address

64 77TH St
Brooklyn, NY 11209-2919
Phone (718) 614-4128

Other names 1

  • Athina Salandra Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address athinan@laseraway.net Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
745476NYMDRegistered Nurse
349245NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1265141030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092919",
            "telephone_number": "718-614-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034366",
            "telephone_number": "718-675-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAOU",
        "first_name": "ATHINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349245",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "745476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "athinan@laseraway.net",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3607 30th Ave",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111034366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ATHINA",
            "last_name": "SALANDRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.