Nicolette D Vallandigham, CNM MSN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F001048 Issued in NY

Practice address

1001 West St
Carthage Area Hospital
Carthage, NY 13619-9703

Phone

(315) 493-3100

Fax

(315) 493-3113

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nicolette D Leng Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1417044116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST STREET",
            "address_2": "CARTHAGE AREA HOSPITAL",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-493-3100",
            "fax_number": "315-493-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "address_2": "CARTHAGE AREA HOSPITAL",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-493-3100",
            "fax_number": "315-493-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLANDIGHAM",
        "first_name": "NICOLETTE",
        "middle_name": "D",
        "credential": "CNM MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001048",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R186685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "LENG",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Advanced Practice Midwife in Carthage, NY
• Providers in Carthage, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.