Active NPI
Nudgine Micourt, FNP-BC
- Family Nurse Practitioner
- Cambria Heights, NY
National Provider Identifier
1346802162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F-344113-1
- Practice address
- 11706 225TH St
Cambria Heights, NY 11411-1706 - Phone
- (718) 712-8511
- NPI assigned
- Jul 1, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F-344113-1 | NY | Primary |
Addresses
Primary practice location
11706 225TH St
Cambria Heights, NY 11411-1706
Mailing address
11706 225TH St
Cambria Heights, NY 11411-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-344113-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Camkids Pediatrics PC | Past | Accepting new patients |
Locations
135 Main St
Hempstead, NY 11550
Phone (516) 292-3111
1600 Stewart Ave
Ste 300
Westbury, NY 11590
Phone (516) 546-4209
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Elmont, NY
- NPI 1336669670
-
- Federally Qualified Health Center (FQHC)
- North Baldwin, NY
- NPI 1205704319
-
- Federally Qualified Health Center (FQHC)
- Freeport, NY
- NPI 1881028108
-
- Pediatrics Physician
- Cambria Heights, NY
- NPI 1710057872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1346802162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11706 225TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11706 225TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111706",
"telephone_number": "718-712-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICOURT",
"first_name": "NUDGINE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F-344113-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.