Individual provider Active NPI

Nichole Denice Nephew, LPN

  • Licensed Practical Nurse
  • West Chazy, NY
National Provider Identifier
1447524590
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
299711 Issued in NY
Practice address
7285 RT 22
West Chazy, NY 12992
Phone
(518) 565-7285
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 299711 NY Primary

Addresses

Primary practice location

7285 RT 22
West Chazy, NY 12992

Mailing address

7834 State Route 22
West Chazy, NY 12992-3235
Phone (518) 565-7285

Other names 1

  • Nichole Denice Stewart Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1447524590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 STATE ROUTE 22",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129923235",
            "telephone_number": "518-565-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 RT 22",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "12992",
            "telephone_number": "518-565-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPHEW",
        "first_name": "NICHOLE",
        "middle_name": "DENICE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "STEWART",
            "middle_name": "DENICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chazy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.