Active NPI
Nicole Rose Dacierno, RN, BSN
- Emergency Registered Nurse
- Buffalo, NY
National Provider Identifier
1396029492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- RN514231-L
- Practice address
- 3495 Bailey Ave
Buffalo, NY 14215-1129 - Phone
- (716) 862-7456
- NPI assigned
- Oct 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN514231-L | PA | Primary |
| Emergency Registered Nurse | 163WE0003X | 647689 | NY |
Addresses
Primary practice location
3495 Bailey Ave
Buffalo, NY 14215-1129
Mailing address
258 Johns Rd
Kittanning, PA 16201-7150
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 |
|---|---|---|---|
| 647689 | NY | MD | Emergency Registered Nurse |
| RN514231-L | PA | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1396029492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 JOHNS RD",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151129",
"telephone_number": "716-862-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACIERNO",
"first_name": "NICOLE",
"middle_name": "ROSE",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "PA",
"license": "RN514231-L",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "647689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.