NPIMap

Individual provider Active NPI

Laura Nicole Sicke, NP

  • Family Nurse Practitioner
  • Latham, NY
National Provider Identifier
1396361911
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346057 Issued in NY
Practice address
1182 Troy Schenectady Road Suite 100
St. Peter'S Spine and Neurosurgery
Latham, NY 12110-1000
Phone
(518) 713-5400
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346057 NY Primary
Registered Nurse 163W00000X 695600 NY

Addresses

Primary practice location

1182 Troy Schenectady Road Suite 100
St. Peter'S Spine and Neurosurgery
Latham, NY 12110-1000

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210226002137 NY Practitioner - Nurse Practitioner 6800201765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
695600NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince May 6, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
St. Peter'S Hospital of the City of Albany Family CurrentSince Nov 11, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince May 6, 2024 Accepting new patients
Albany Medical College CurrentSince May 6, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Nov 11, 2020 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1182 Troy Schenectady Rd
Ste 100
Latham, NY 12110
Phone (518) 269-4690

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Interoperability endpoints

  • Direct secure messaging: lsanders789397@direct.trinity-health.org
  • Direct secure messaging: lsicke92533@albanymed.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1396361911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY ROAD SUITE 100",
            "address_2": "ST. PETER'S SPINE AND NEUROSURGERY",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-713-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKE",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346057",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "695600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1182 Troy Schenectady Road Suite 100",
            "address_2": "St. Peter's Spine and Neurosurgery",
            "city": "Latham",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121101000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.