Active NPI
Nicole Casimir, BSN, RN, LCCE, DOULA
- Prevention Professional
- Huntington Station, NY
National Provider Identifier
1285174946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 714012-1
- Practice address
- 88 Wyman Ave
2ND Floor Apt
Huntington Station, NY 11746-1058 - Phone
- (520) 403-8448
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 714012-1 | NY | Primary |
Addresses
Primary practice location
88 Wyman Ave
2ND Floor Apt
Huntington Station, NY 11746-1058
Mailing address
88 Wyman Ave
2ND Floor Apt
Huntington Station, NY 11746-1058
Phone (520) 403-8448
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714012-1 | NY | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1285174946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 WYMAN AVE",
"address_2": "2ND FLOOR APT",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461058",
"telephone_number": "520-403-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 WYMAN AVE",
"address_2": "2ND FLOOR APT",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461058",
"telephone_number": "520-403-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASIMIR",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "BSN, RN, LCCE, DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NY",
"license": "714012-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.