Nicole Theresa York, LPN

Key facts

NPI

1285584615

Entity type

Individual (NPI type 1)

Primary specialty

Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X

License

2041945 (KY)

Practice address

525 Technology Park Ste 109
Lake Mary, FL 32746-7107

Phone

(407) 347-4331

NPI assigned

Feb 3, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2026.

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1285584615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 JOE BROWN RD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489348",
            "telephone_number": "407-347-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107",
            "telephone_number": "407-347-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "NICOLE",
        "middle_name": "THERESA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "KY",
            "license": "2041945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lake Mary, FL · Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Florida