Nicole Woodward

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

343356 Issued in NY

Practice address

42 River St
Chateaugay, NY 12920-2002

Phone

(518) 497-6611

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Gary Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1568366276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SANCOMB RD",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129202603",
            "telephone_number": "518-651-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 RIVER ST",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129202002",
            "telephone_number": "518-497-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "343356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monalee Mary Siskavich, SPEECH PATHOLOGIST
• Breanna Nicole Sprague
• Kaitlin Grace Tebo, M.S.ED, CCC-SLP
• Jessica Lynn Vanderwalker, MSOTR/L
• Lisa Whyte, PT ASSISTANT
• Joshua John Zenger, OTA

• Licensed Practical Nurse in Chateaugay, NY
• Providers in Chateaugay, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.