Individual provider Active NPI

Richard Sica, FNP

  • Family Nurse Practitioner
  • Rome, NY
National Provider Identifier
1447635966
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339870 Issued in NY
Practice address
7901 Ridge Mills Rd
Rome, NY 13440-2203
Phone
(315) 337-2500
Fax
(315) 337-0720
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339870 NY Primary

Addresses

Primary practice location

7901 Ridge Mills Rd
Rome, NY 13440-2203

Mailing address

7901 Ridge Mills Rd
Rome, NY 13440-2203
Phone (315) 337-2500

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339870NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1447635966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 RIDGE MILLS RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402203",
            "telephone_number": "315-337-2500",
            "fax_number": "315-337-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 RIDGE MILLS RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402203",
            "telephone_number": "315-337-2500",
            "fax_number": "315-337-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICA",
        "first_name": "RICHARD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.