Active NPI
Noelle Denome, AGPCNP-BC
- Adult Health Nurse Practitioner
- Valhalla, NY
National Provider Identifier
1407628217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 311239
- Practice address
- 15 Dana Rd
Valhalla, NY 10595-1554 - Phone
- (914) 594-4234
- NPI assigned
- Oct 25, 2023
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 311239 | NY | Primary |
Addresses
Primary practice location
15 Dana Rd
Valhalla, NY 10595-1554
Mailing address
2660 Loretta St
Yorktown Heights, NY 10598-2926
Phone (845) 558-8168
Other practice location 1
15 Dana Rd
Valhalla, NY 10595-1554
Phone (914) 594-4234
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250909004625 | NY | Order and Referring Only - Nurse Practitioner | 1153824909 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311239 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737763200000",
"number": "1407628217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 LORETTA ST",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105982926",
"telephone_number": "845-558-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 DANA RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951554",
"telephone_number": "914-594-4234"
}
],
"practiceLocations": [
{
"address_1": "15 Dana Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951554",
"country_code": "US",
"telephone_number": "914-594-4234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENOME",
"first_name": "NOELLE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2025-01-25",
"certification_date": "2025-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "311239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.