Individual provider Active NPI

Nicole Mary McDonald, DC

  • Chiropractor
  • Kingston, NY
National Provider Identifier
1336218361
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010524 Issued in NY
Practice address
211 Hurley Ave Ste 5
Kingston, NY 12401-2415
Phone
(845) 331-6653
Fax
(845) 246-0414
NPI assigned
Nov 6, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010524 NY Primary

Addresses

Primary practice location

211 Hurley Ave Ste 5
Kingston, NY 12401-2415

Mailing address

211 Hurley Ave Ste 5
Kingston, NY 12401-2415
Phone (845) 331-6653

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
010524NYMDMental Health Counselor
X010524NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Saugerties Chiropractic PC Chiropractor PastSince Aug 19, 1999 Accepting new patients
Gabriels Family Chiropractic, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1336218361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE STE 5",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012415",
            "telephone_number": "845-331-6653",
            "fax_number": "845-331-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE STE 5",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012415",
            "telephone_number": "845-331-6653",
            "fax_number": "845-246-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "NICOLE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.