Lenore Theresa Nowicky, MS RN GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340511 Issued in NY

Practice address

435 E Henrietta Rd
Rochester, NY 14620-4629

Phone

(585) 760-6352

Fax

(585) 760-6376

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Lenore Theresa Nowicky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1356396261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629",
            "telephone_number": "585-760-6352",
            "fax_number": "585-760-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629",
            "telephone_number": "585-760-6352",
            "fax_number": "585-760-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKY",
        "first_name": "LENORE",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "MS RN GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03509813",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENORE",
            "last_name": "NOWICKY",
            "middle_name": "THERESA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Dalgi Nowak
• Matthew Michael Nowak, OTR/L
• Rebekah Elizabeth Nowak
• Kristen M Nowakowski
• Lisa A. Nowakowski
• Lori Nowicky
• Melody Nowlin
• Noyer Enterprises LLC
• Richard Nozell, PA
• Kenneth D. Nozik, D.D.S.

• Gerontology Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.