Individual provider Active NPI

Arielle Nicole Spaulding, RN

  • Registered Nurse
  • Malone, NY
National Provider Identifier
1558910166
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
750436 Issued in NY
Practice address
125 Finney Blvd
Malone, NY 12953-1067
Phone
(518) 483-8160
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 750436 NY Primary

Addresses

Primary practice location

125 Finney Blvd
Malone, NY 12953-1067

Mailing address

232 County Route 52
North Lawrence, NY 12967-9542
Phone (315) 212-3795

Other practice location 1

31 6th St
Malone, NY 12953
Phone (518) 481-8160

Other names 1

  • Arielle Nicole Simonds 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
750436NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Advocates, Inc CurrentSince Aug 14, 2022 Accepting new patients
Citizen Advocates, Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

31 6th St
Malone, NY 12953
Phone (518) 651-2254

125 Finney Blvd
Malone, NY 12953
Phone (518) 481-8160

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1558910166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 COUNTY ROUTE 52",
            "city": "NORTH LAWRENCE",
            "state": "NY",
            "postal_code": "129679542",
            "telephone_number": "315-212-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FINNEY BLVD",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531067",
            "telephone_number": "518-483-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 6th St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "12953",
            "country_code": "US",
            "telephone_number": "518-481-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "ARIELLE",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "750436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIELLE",
            "last_name": "SIMONDS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.